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:401, I <br />411S:elr ove. <br />SAN4JOAQUIN <br />—COUNTY— <br />Greor (1 .• here. <br />Environmental Health Department <br />Time In: 8.45 am <br />Time Out: 9:05 am <br />Mobile Food Facility Official Inspection Report <br />Name of Facility: NANA & POPS GOODIE SHACK #7DLC389 Date: 12/09/2019 <br />Address: 1633 E NINTH ST, STOCKTON 95206 <br />Owner/Operator: CAIRO-WOLFE, SONDRA D Telephone: 31._.2 5 2 3 9 <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: Expiration Date: <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 />Ok to issue permit for 2020 <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: Name and Title: Sondra D. Cairo, owner <br /> <br />EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br />FA0022609 PR0539526 S0001 12/09/2019 <br />END 16-23 Rev. 06/30/15 Page 1 of 1 Mobile Food Facility OIR <br />1868 E. Hazelton Avenue I Stockton, California 952051 1 209 468-3420 I F 209 464-0138 I www.sjcehd.com