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Cso\ <br />61. <br />r7 i <br /> <br />''..1(/Fotftw <br />SAN JOAQUIN <br />Co U N T <br />Greatness grows here, <br />Environmental Health Department <br />Time In: 8-21 am <br />Time Out: 8:39 am <br /> <br />Mobile Food Facility Official Inspection Report <br />Name of Facility: INIGUEZ BAKERY #03244U1 Date: 11/25/2019 <br />Address: 740 W I ST, LOS BAN OS 93635 <br />Owner/Operator: INIGUEZ, JAIME Telephone: (209) 826-0111 <br />Program Element: 1636 - LTD FOOD VEHICLE (PRODUCE/WHOLE FISH) <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />VIOLATIONS AND CORRECTIVE ACTIONS <br />Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; 113700./ <br />violations must be corrected within specified timeframe. Violations that are classified as "MAJOR" pose an immediate threat to public health and have the <br />potential to cause foodbome illness. All major violations must be corrected immediatey. Non-compliance may warrant immediate closure of the food facility. <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: N/A Expiration Date: <br /> <br />Warewash Chlorine (Cl): ppm Heat 0 F Water/Hot Water Ware Sink Temp: <br />Quaternary Ammonia (QA): ppm Hand Sink Temp: ° F <br /> <br />FOOD ITEM -- LOCATION -- TEMP ° F -- COMMENTS <br />No Temperature Data Collected <br />NOTES <br />New LIC# 6THZ203 <br />5021 form printed to be updated. <br />Okay to use tongs. Tongs will be washed at the bakery. <br />Okay to issue the permit for 2020 once fee is paid. <br />The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and Safeti <br />Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: Jaime Iniguez, Owner <br /> <br />EH Specialist: GEHANE FAHMY Phone: (209) 953-7698 <br />FA0020082 PR0531180 SC001 11/25/2019 <br />END 16-23 Rey 06/30/15 <br /> <br />Page 1 of 1 Mobile Food Facility OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com