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Time In: 8:12 am <br /> Time Out: 8:30 am <br /> oe4�t . San Joaquin County <br /> Environmental Health Department <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ;P• Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.s'aov.org/ehd <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: KHALSHA ICE CREAM#8D37620 Date: 12/02/2015 <br /> Address: 3588 E CARPENTER RD, STOCKTON 95215 ! <br /> Owner/Operator: SINGH, MUKHTAR; KAUR, RAJWANT Telephone. (209) 808-3474 <br /> Program Element: 1634 - FOOD VEHICLE/CART(PREPKGD ONLY) <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <br /> fO—LNtlb-N—STAl—qDl(:ORgECTlVE3KCTCONSIlIIIIIIIII <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 <br /> health and have the potential to cause foodborne illness.All major violations must be corrected immediately. Non-compliance may warrant immediate <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 /> I <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> I <br /> NOTES I <br /> Only sell pre-packaged food. <br /> OK to permit for 2016 once annual permit fee has been paid. <br /> I <br /> I <br /> I <br /> I <br /> f <br /> I <br /> I <br /> I <br /> I <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of th@ 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: Raiwant Kaur, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209) 468-0330 ! <br /> FA0019609 !PR0529677 SC001 12/02/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility OIR <br />