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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www sjgov org/ehd <br />Mobile Food Facility Official Inspection Report <br />Time In: 8:19 am <br />Time Out: 8:35 am <br />Name of Facility: NANA & POPS GOODIE SHACK #7DLC389 Date: 12/30/2016 <br />Address: 1633 E NINTH ST,STOCKTON 95206 <br />Owner/Operator: CAIRO-WOLFE, SON DRA D Telephone: <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 />#64 Lack of Proper Owner Identification <br />OBSERVATIONS: Provide signage on both sides of vehicle. Correct prior to operating. <br />CALCODE DESCRIPTION: 1. The business name or the name of the operator, city state and ZIP code, and the name of the permittee if <br />different from the business name is not clearly visible on the customer side of the mobile food facility. [§114299(a)] 2. Business or <br />operator name is not at least 3 inches high and address is not one inch high. [§114299(b)] 3. Sign is not in contrasting color with the <br />vehicle exterior. [§114299(b)] 4. For a motorized vehicle and a mobile support unit, the sign is not present on both sides of vehicle. <br />[§114299(c)] <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: n/a Expiration Date: <br /> <br />Warewash Chlorine (Co: ppm Heat: ° F Water/Hot Water Ware Sink Temp: ° F <br /> <br />Quaternary Ammonia (QA): PPm <br /> Hand Sink Temp: ° F <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />No Temperature Data Collected <br />NOTES <br />Ok to permit for 2017 once fees have been paid. <br />Lic#7DLC389 <br />Pre-packaged food only. <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: Sandra, Owner <br />EH Specialist: MELISSA NISSIM Phone: (209) 468-3168 <br />FA0022609 PR0539526 SC001 12/30/2016 <br />END 16-23 Rev. 06/30/15 Page 1 of 1 Mobile Food Facility OIR