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7- SANAOAQUIN <br />—COUNTY— <br />'c, Greatness grows hpre <br />Environmental Health Department <br />Time In; 907 am <br />Time Out: 9:48 am <br /> <br />Mobile Food Facility Service Request Inspection Report <br />Name of Facility: LA COLMENA #5Y19184 Date: 11/13/2019 <br />Address: 1020 MATHIA DR. MODESTO 95351 <br />Requestor: ANTONIO CAMACHO MORENO, LA COLMENA#5Y19184 Telephone: (209) 985-4266 <br />Program Element: 1602- FOOD CONSULTATION Request #: SR0081392 <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 />OBSERVATIONS <br />Name on Food Safety Certificate: n/a Expiration Date: <br /> <br />Warewash Chlorine (Cl): ppm Heat: ° F Water/Hot Water Ware Sink Temp: ° F <br /> <br />Quaternary Ammonia (QA): <br />PPm <br /> Hand Sink Temp: ° F <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />No Temperature Data Collected <br />NOTES <br />New vehicle consultation inspection <br />Selling pre-packaged honey at Wilson Way Flea market <br />License plate # 5Y19184 <br />VIN 1N6SD16S5TC313461 <br />OK to permit as a 1634 once annual permit fee is paid ($107 - will transfer payment from PR542568 - to be inactivated this <br />date) <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 />Na 4--V)4 -.1z:70/1 <br />Name and Title: Antonio Camacho Moreno, owner <br /> <br />EH Specialist: KADEANNE LIN HARES Phone: (209) 468-0330 <br />SR0081392 SC061 11/13/2019 <br />Page 1 of 1 Mobile Food Facility Service Request Inspection Report EHD 16-23 Rev. 06/30/15