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S A N-J O A Q U I N Environmental Health Department <br /> C Q U N T Y Time In: 8.05 am <br /> Time Out: 9:20 am <br /> e�c,aos�t` Greotness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: Date: 09/01/2020 <br /> Address: 435 E HARDING WAY, STOCKTON 95204 <br /> Requestor: VIKTOR SITAS, LA CUSTOM FOOD TRUCKS Telephone: <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0081861 <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 must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: John P Nisby Expiration Date: December 10,2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 106°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door reach-in--under prep--38.00°F hot water--3 comp--125.00°F <br /> 2 door upright Atosa--38.00°F warm water--hand sink--106.00°F <br /> NOTES <br /> license 6041872 <br /> VIN 1F66F5KN3L0A02640 <br /> PE 1635 <br /> Per HCD vent in facility is approved. <br /> Ok to issue permit once fee is paid <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: John Nisby, Owner, Sig not captured <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> SR0081861 SC523 09/01/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />