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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 />Food Program Official Inspection Report <br />Time In: 8.25 am <br />Time Out: 9:00 am <br />Name of Facility: MOMOS FRIGID FROG #4ND2508 Date: 05/13/2016 <br />Address: 154W ST CHARLES PL, SAN ANDREAS 95249 <br />Owner/Operator: MORALES, AARON (zzel) (i> 0 ci— 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 />#1 Demonstration of Knowledge <br />OBSERVATIONS: Food manager class taken 04/19/16. Provide copy of certificate to mflohrschutz@sjcehd.com <br />CALCODE DESCRIPTION: All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br />assigned duties. (113947) Food facilities that prepare, handle or serve non-prepackaged potentially hazardous food, shall have an <br />employee who has passed an approved food safety certification examination. (113947-113947.1) Any food handler hired after June 1, <br />2011 shall obtain a Food Handler Card within 30 days (113948). <br />#34 Warewashing Facilites Maintained <br />OBSERVATIONS: Sanitizer test strips not available. Provide chlorine strips by 1 week. <br />CAL CODE DESCRIPTION: Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and <br />materials shall be provided to measure the applicable sanitization method. (114067(fg), 114099, 114099.3, 114099.5, 114101(a), <br />114101.1, 114101.2, 114103, 114107, 114125) <br />OVERALL INSPECTION NOTES AND 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: 120 °F <br /> <br />Quaternary Ammonia (QA) <br /> <br />PPm <br /> <br />Hand Sink Temp: 120 °F <br /> <br />FOOD ITEM -- LOCATION -- TEMP ° F COMMENTS <br />No Temperature Data Collected <br />NOTES <br />LIC 4ND2508 <br />VIN JTEBU5JR4C5092577 <br />OK to issue permit for 2016 <br />Selling only shaved ice. Owner wants to change commissary (Use the Duck Nook at Harding Way). This will be acceptable if <br />facility has a mop sink. Provide evidence of compliance. <br />FA0022412 PR0539119 SC001 05/13/2016 <br />EHD 16-23 Rev. 06/30/15 Page 1 of 2 Food Program OIR