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,...,....,- <br />HP --- - SAN4)JOAQUIN ..„ i .644.... 1, <br />COUNTY — <br />'it.,‘• C;reotness grows here. <br />Environmental Health Department <br />Time In: 9:00 am <br />Time Out: 10:00 am <br /> <br />Mobile Food Facility Official Inspection Report <br />Name of Facility: MOMOS FRIGID FROG #4ND2508 Date: 05/03/2019 <br />Address: 154 W ST CHARLES PL, SAN ANDREAS 95249 <br />Owner/Operator: MORALES, AARON Telephone: (209) 570-0678 <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: Gemekia Morales Expiration Date: April 19, 2021 <br /> <br />Warewash Chlorine (CI): 100 ppm Heat: ° F Water/Hot Water Ware Sink Temp: 127 ° F <br /> <br />Quaternary Ammonia (QA): <br />PPm <br /> Hand Sink Temp: 1320 F <br />FOOD ITEM -- LOCATION -- TEMP ° F -- COMMENTS <br />No Temperature Data Collected <br />NOTES <br />LIC# 4ND2508 <br />VIN# ....011561 <br />Chlorine test strips are available. <br />SB180 posted. <br />No major violations observed. <br />Okay to issue permit for 2019 . <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 />Lit ;] foi4; <br />Received by: <br /> <br />Name and Title: Aaron Morales, Owner <br /> <br />EH Specialist: GEHANE FAHMY Phone: (209) 953-7698 <br />FA0022412 PRO539119 SC001 05/03/2019 <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