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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 />Mobile Food Facility Official Inspection Report <br />Time In: 8 20 am <br />Time Out: 8:40 am <br />Name of Facility: LUPITAS COCKTAILS #4CS3586 Date: 10/27/2015 <br />Address: 730 S CALIFORNIA ST, STOCKTON 95203 <br />Owner/Operator: MARTIN, JOSE ABEL Telephone. (209) 462-3735 t-I- <br />Program Element: 1635- MOBILE FOOD PREPARATION UNIT (MFPU) 401-4(4,5 i C. <br />Inspection Type: ROUTINE INSPECTION - Operating Permit Reinspection on or after: <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 />#41 Plumbing Maintained; Approved Back Flow Device <br />OBSERVATIONS: Waste line lacks cap. Provide by 1 week. <br />CALCODE DESCRIPTION: The potable water supply shall be protected with a backflow or back siphonage protection device, as required <br />by applicable plumbing codes. (114192) All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br />ordinances, shall be maintained so as to prevent any contamination, and shall be kept clean, fully operative, and in good repair. Any hose <br />used for conveying potable water shall be of approved materials, labeled, properly stored, and used for no other purpose. (114171, <br />114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: Jose Martin Expiration Date: January 24 2017 <br /> <br />Warewash Chlorine (Cl): 100 ppm Heat: ° F Water/Hot Water Ware Sink Temp: 120 °F <br /> <br />Quaternary Ammonia (QA) ppm <br /> <br />Hand Sink Temp: 120 ° F <br /> <br />FOOD ITEM -- LOCATION -- TEMP °F -- COMMENTS <br />No Temperature Data Collected <br />NOTES <br />ok to issue permit for 2016 <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: jose martim, owner <br /> <br />EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br />FA0015061 PR0522101 SC001 10/27/2015 <br />Page 1 of 1 Mobile Food Facility OIR END 16-23 Rev. 06/30/15