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� � Environmental Health Department <br /> SANAMIN <br /> Time In: R-an an <br /> � Time Out: 9:14 am <br /> Greotness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: FIDEL S LOPEZ Date: 11/27/2019 <br /> Address: 9756 PALAZZO DR, STOCKTON 95212 <br /> Requestor: FIDEL S LOPEZ, LOPEZ PRODUCE Telephone: (209)426-6210 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0081474 <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 foodborne illness.All major violations must be corrected immediate/V.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:Operator is currently lacking the name of the establishment in the minimum 3"font sizing and the name <br /> of the owner,city,state and zip in the minimum 1"font sizing.Correct before operation. <br /> CALCODE DESCRIPTION:1. The business name or the name of the operator,city state and ZIP code,and the name of the permittee if <br /> different from the business name is not clearly visible on the customer side of the mobile food facility.[§114299(a)] 2.Business or <br /> operator name is not at least 3 inches high and address is not one inch high.[§1 14299(b)] 3.Sign is not in contrasting color with the <br /> vehicle exterior.[§114299(b)] 4. For a motorized vehicle and a mobile support unit,the sign is not present on both sides of vehicle. <br /> [§114299(c)] <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: N/A Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Consultation inspection. <br /> Vendor will be selling at one swap meet. <br /> LIC#7K13622 <br /> VIN#...5528 <br /> Program element: 1684 <br /> Ok to issue permit once fees have been paid. <br /> Official inspection report given to owner. <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: Fidel S. Lopez,Owner <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> SR0081474 SC061 11/27/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br /> fa945o9-)1 <br />