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San Joaquin County <br />Environmental Health Department <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www sigov org/ehd <br />Food Program Official Inspection Report <br />Time In: 825 am <br />Time Out: 8:40 am <br />Name of Facility: INIGUEZ BAKERY #03244U1 Date: 12/11/2015 <br />Address: 740 W I ST, LOS BAN 05 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; <br />113700. All violations must be corrected within specified timeframe. Violations that are classified as "MAJOR" pose an immediate threat to public health <br />and have the potential to cause foodbome illness. All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br />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: ° F Water/Hot Water Ware Sink Temp, ° F <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 />No violations. <br />Ok to permit for 2016 <br />PE 1636 <br />Lic #03244U1 (New license plate) <br />Vin #8631 <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 <br />Safety Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: '1F7 Name and Title: Jaime, Owner <br />EH Specialist: MELISSA NISSIM Phone: (209) 468-3168 <br />FA0020082 PR0531180 SC001 12/11/2015 <br />Page 1 of 1 Food Program OIR EHD 16-23 Rev. 06/30/15