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0"4"O'x' SANsiJOAQUIN Environmental Health Department <br /> —COUNTY— Time ln: Arvi°,.,Time Out: 8.41 am <br /> Greatness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: AS ICE CREAM Date: 09/10/2020 <br /> Address: 3412 E MINER AVE ,STOCKTON 95205 <br /> Requestor: AJMER SINGH,AS ICE CREAM Telephone: (209)948-1749 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0082572 <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 connected 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 connected immediate .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: NIA Expiration Date: <br /> Warewash Chlorine(CI): ppm Heat: °F Water/Hot Water Were Sink Temp: °F <br /> Ouatemary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM—LOCATION—TEMP°F—COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Change of owner inspection. <br /> Mobile food unit will be selling prepackaged food items only. <br /> LIC#6A15682 <br /> VIN#...5030 <br /> Program element: 1634 <br /> Observed no violations at this time. <br /> OK to issue permit for 2020 once fees have been paid. <br /> Official inspection report given to owner. <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: <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-3420 <br /> SR0082572 SCO61 09f10r2020 <br /> EHD 1623 Rev.81182020 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />