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• Time In: 9'97 am <br /> Time Out: 10:03 am <br /> aPAuln.. San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4, �`p• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:wrww.s6gov.org/ehd <br /> • as <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: NGUYEN#3T54172 Date: 11/21/2017 <br /> Address: 2440 S AIRPORT WAY, STOCKTON 95206 <br /> Requestor: CUONG NGUYEN, NGUYEN#3T54172 Telephone (408) 963-7790 <br /> Program Element: 1603- FOOD VEHICLE INSPECTION Request#: SR0078411 <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. Noncompliance may warrant immediate closure of <br /> the food facility. <br /> #35 Equipmentlutensils Approved and in Good Repair <br /> OBSERVATIONS: Mechanical refrigeration is not in place. <br /> Obtain mechanical refrigeration by 12-31-17. <br /> Bring the truck in for verification by this date. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair.(114175).All utensils and equipment <br /> shall be approved, installed properfy, and meet applicable standards.(114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> #44 Premises: Clean/Litter Free; Vermin-Proof <br /> OBSERVATIONS:The self closer on the driver door is not functioning. Repair the self closer by 1 week. <br /> CALCODE DESCRIPTION: The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof.(114067(j), 114123, 114143(a) &(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Cuong Nguyen Expiration Date:August 22,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 127°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 127-F <br /> FOOD ITEM--LOCATION --TEMP ° F --COMMENTS <br /> steam table water--211.00°F reach in refrigerator—43.00°F <br /> hot hold cabinet—152.00°F <br /> NOTES <br /> License plate#3T54172 <br /> VIN ...1753 <br /> FA0001622 SR0078411 SC061 11/21/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Mobile Food Facility Service Request Inspection Report <br />