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Time In: 9-26 am <br /> Time Out: 9:36 am <br /> tQg.tN. San Joaquin County <br /> 0. �G <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&qov.org/���ehd <br /> FQ'iN <br /> Food Program Official Inspection Report <br /> Name of Facility: JESUS MOUNTAIN COFFEE Date: 03/04/2015 <br /> Address: 244 E MINER AVE,STOCKTON 95202 <br /> Owner/Operator: KIRK, EDWARD B Telephone: <br /> Program Element: 1681 -COMMISSARY(VEHICLE/CART) <br /> Inspection Type: INSPECTION/REINSPECTION 1 hr minimum 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 /> #34 Warewashing Facilites Maintained <br /> OBSERVATIONS: QUAT test strips were bought in error. Facility is using chlorine. Provide chlorine test strips in 1 week. <br /> CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and <br /> materials shall be provided to measure the applicable sanitization method. (114067(f,g), 114099, 114099.3, 114099.5, 114101(a), <br /> 114101.1, 114101.2, 114103, 114107, 114125) <br /> OVERALL INSPECTION COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> NOTES <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 /> 6' <br /> Received by: Name and Title: Edward Kirk, Owner <br /> EH Specialist: LEYNA HUYNH Phone: (209) 468-3446 <br /> FA0022358 PR0538918 SC333 03/04/2015 <br /> EHD 16-23 Rev.01/30/15 Page 1 of 1 Food Program OR <br />