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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.orq/ehd <br />Mobile Food Facility Service Request Inspection Report <br />Time In. 8.30 am <br />Time Out: 9:12 am <br />Name of Facility: LIL VIC'S ICE CREAM Date: 04/04/2017 <br />Address: 2626 N WEST LN , STOCKTON 95205 <br />Requestor: VERNON JAYSON BOYKIN, LIL VIC'S ICE CREAM Telephone (209) 460-1734 <br />Program Element: 1603- FOOD VEHICLE INSPECTION Request #: SR0077129 <br />Inspection Type: 061 - CONSULTATION <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 />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />No Temperature Data Collected <br />NOTES <br />LIC.. 7L74298 <br />VIN . 95608 <br />The followings are conditions for operation: <br />- Label on both sides of vehicle the business name in at least 3 inch tall letters, and city, state, zip code in at least 1-inch tall <br />letters. <br />- Prepackaged food only. No scooping of ice cream or open food allowed. <br />Permit cannot be issued at this time since there is no commissary letter. Requester may return to this office and provide a <br />copy of the signed commissary letter and obtain the operation permit after fee is paid. PE 1634 <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: victoria randolph, owner <br />EH Specialist: JEFFREY WONG Phone: (209) 468-0335 <br />5R0077129 SC061 04/04/2017 <br />Page 1 of 1 Mobile Food Facility Service Request Inspection Report EHD 16-23 Rev. 06/30/15