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Time In: 9'20 am <br /> Time Out: 1 tr00 am <br /> �4p,4tttM�A� 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.sjgov.org/ehd <br /> �4j. aaH <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: VOLCANO SPLASH DRINKS (4 CARTS) Date: 08/29/2016 <br /> Address: 404 W FREMONT ST,STOCKTON 95203 <br /> Owner/Operator: CAUSEVSKI, PETER & RUJIRAT Telephone: <br /> Program Element: 1633- FOOD VEHICLE/CART(LTD FOOD PREP) <br /> Inspection Type: INSPECTION/REINSPECTION 1 hr minimum <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM --LOCATION --TEMP° F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Re-inspection conducted for all 4 carts <br /> Cart#1-All violations corrected. Hot water at 110 F <br /> Cart#2-All violations corrected. <br /> Cart#3-All violations corrected. Hot water at 110 F. Refrigerator at 41 F. <br /> Cart#4-All violations corrected. <br /> OK to issue permit for 2017 for all four carts <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: rujirat causevski, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0016573 PRO524674 SC333 08129t2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility OIR <br />