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Warewash Chlorine (Cu: ppm Heat: 1700 F <br />Water/Hot Water Ware Sink Temp: 120 ° F <br />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.sjgov.org/ehd <br />Mobile Food Facility Official Inspection Report <br />Time In: 11.27 am <br />Time Out: 11:57 am <br />Name of Facility: COFFEE KLATCH (CART) Date: 12/22/2016 <br />Address: 1205 E NORTH ST, MANTECA 95336 <br />Owner/Operator: MOVASAGH, ALI Telephone: (209) 825-3083 <br />Program Element: 1633 - FOOD VEHICLE/CART (LTD FOOD PREP) <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: needed Expiration Date: <br /> <br />Quaternary Ammonia (QA): PPm Hand Sink Temp: 110 ° F <br />FOOD ITEM -- LOCATION -- TEMP ° F -- COMMENTS <br />2 door Bev Air -- 37.00° F 1 door Bev Air -- 36.00° F <br />NOTES <br />Cart uses the hospital cafeteria dish machine and 3 comp sink <br />Operator has the Food Handler Card (expires 2-7-2018) - when the Food Handler Card expires, the 5 year Food Safety <br />Certificate(Food Manager) will be required. <br />OK to permit for 2017 once the annual permit 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 <br />Safety Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />EH Specialist: KADEANNE LINHARES Phone: (209) 468-0330 <br />FA0012549 PR0516312 SC001 12/22/2016 <br />Received by: <br /> <br />Name and Title: Ali Movasagh, owner <br />Page 1 of 1 Mobile Food Facility OIR EHD 16-23 Rev. 06/30/15