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( SANAOAQUIN 0, I —COUNTY— <br />\ aSiejr. ureotness grows here <br />Environmental Health Department <br />Time In 11.20 am <br />Time Out: 11:50 am <br /> <br />Mobile Food Facility Official Inspection Report <br />Name of Facility: MATTIE'S WAY ICE CREAM #Y521549 Date: 03/27/2020 <br />Address 1430 W WEBER AVE, STOCKTON 95205 <br />Owner/Operator: TRAVIS, RODRICK Telephone: <br />Program Element: 1634 - FOOD VEHICLE/CART (PREPKGD ONLY) <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: <br /> <br />Expiration Date: <br /> <br />Warewash Chlorine (Cl): ppm Heat: ° F Water/Hot Water Ware Sink Temp: ° F <br /> <br />Quaternary Ammonia (QA): <br />PPm <br /> Hand Sink Temp: ° F <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />No Temperature Data Collected <br />NOTES <br />Routine inspection conducted this date. <br />License number: Y521549 <br />VIN: lUTCF10F7ES295509 <br />Commissary was changed to 3412 Miner. <br />Ok to issue permit for 2020. <br />Inspection report was discussed with Rodrick Travis. Signature was not captured. <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. Ifs reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: Rodrick Travis, Owner <br />EH Specialist: STEVEN SHIN Phone: (209) 468-9850 <br />FA0025385 PR0544660 SC001 03/27/2020 <br />EHD 16-23 Rev. 06/30/15 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