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Time In. 1.05 pm <br />Time Out. 2:07 pm <br />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 />Food Program Official Inspection Report <br /> <br />Name of Facility: COFFEE KLATCH (CART) Date: 02/27/2015 <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 <br />health and have the potential to cause foodbome illness. All major violations must be corrected immediately. Non-compliance may warrant immediate <br />rinsitrp nf thP fnnri farilitv <br />OVERALL INSPECTION 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): PPm <br /> Hand Sink Temp: ° F <br />FOOD ITEM -- LOCATION -- TEMP ° F -- COMMENTS <br />AMBIENT AIR --ONE-DOOR -- 36.00° F <br />NOTES <br />THE DOCTOR'S HOSPITAL CAFETERIA IS UTILIZED AS A COMMISSARY <br />THE OPERATOR/OWNER OF THIS CART IS CURRENT WITH A FOOD HANDLER CARD CERTIFICATION UNTIL 2/7/2018 <br />UPON EXPIRATION OF THE FOOD HANDLER CARD A FOOD MANAGER (FIVE YEAR CERTIFICATION) SHALL BE REQUIRED AT TH/ <br />TIME <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: <br /> <br />Name and Title: ALI MOVASAGH, OWNER <br /> <br />EH Specialist: LISA MEDINA Phone: (209) 468-3455 <br />FA0012549 PR0516312 SC001 02/27/2015 <br />Page 1 of 1 Food Program OIR EHD 16-23 Rev 01/30/15