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Time Ire 9,05 am <br /> Time Out: 9:28 am <br /> x4PR ,�9 San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www,sigov.org/ehd <br /> 4 SNS` <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: OHANA SHAVED ICE#49278U1 Date: 08/28/2015 <br /> Address: 2440 S AIRPORT WAY,STOCKTON 95206 <br /> Requestor: HEIDI BATO, NO KA OI SHAVED ICE Telephone: (408) 806-0104 <br /> Program Element: 1603- FOOD VEHICLE INSPECTION Request#: SR0072982 <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 foodbome illness.All major violations must be corrected immediately.Noncompliance may warrant immediate closure of <br /> the food facility. <br /> #1 Demonstration of Knowledge <br /> OBSERVATIONS: Provide a food handler card for all employees within 30 days of hire. <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare, handle or serve non-prepackaged potentially hazardous food, shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> #34 Warewashing Facilites Maintained <br /> OBSERVATIONS:Provide chlorine test strips. <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(fg), 114099, 114099.3, 114099.5, 114101(x), <br /> 114101.1, 114101.2, 114103, 114107, 114125) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Heidi Bato Expiration Date:May 14,2020 <br /> Warewash Chlorine(CD: 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 /> No Temperature Data Collected <br /> NOTES <br /> OK to issue permit after the fee of$145 is paid. PE: 1633 <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: LEYNA HUYNH Phone: (209)468-3446 <br /> FAG022471 SRD072982 SCO61 08128/2015 <br /> EHD 16-23 Rev.06/30115 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />