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Time In: 225 pm <br /> Time Out: 371OPm <br /> San Joaquin County <br /> Environmental Health Department <br /> I 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> F.. p Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.s6gov.org/ehd <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: LORD OF THE WINGS#4RG9326 Date: 11/02/2017 <br /> Address: 730 S CALIFORNIA ST , STOCKTON 95205 <br /> Requestor: ANTONIO SHANNON, LORD OF THE WINGS#4RG9326 Telephone: (202) 971-5858 8 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0078270 <br /> Inspection Type: 523 - Plan Check/Report Review <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 most be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS: Floors lack proper coved base and there is a gap between seams. Seal seams with silicone by 11/03117 <br /> to prevent debris and water from damaging base and floors. In the future continue to seal gaps if silicone wears/peels off. <br /> CALCODE DESCRIPTION: The walls/ceilings shall have durable, smooth,nonabsorbent, light-colored, and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable. Approved base coving shall be provided in all areas, except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Antoino Shannon Expiration Date:September 27,2022 <br /> Warewash Chlorine(CQ: ppm Heat: °F WaterlHot Water Ware Sink Temp: 134°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 134°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> steam table-- 141.000 F steam table-- 140.00°F <br /> 3 door cooler—34.000 F 2 door cooler—37.00°F <br /> NOTES <br /> Insignia is at the exterior of trailer <br /> LIC 4RG9326 VIN CA1178207 <br /> OK to issue permit Program 1635 Fee $237 <br /> Sh �lnnar-1a.orl5mzg--�it- cam <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: Antoino Shannon, manager <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> SR0078270 SC523 11/02/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />