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sl" Department <br /> Environmental Health Dep <br /> SANaJOAQUIN Time In: q'00 am <br /> —COUNTY— TmeQut: 9:30am <br /> Greatness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: ISLAND SHAVED ICE#4LK1202 Date: 10/08/2020 <br /> Address: 730 S CALIFORNIA ST, STOCKTON 95203 <br /> Requestor: PETER PANYOSEE & STACEY PANYOSEE, ISLAND SHAVED ICE Telephone: (209)684-6705 <br /> Program Element: 1603- FOOD VEHICLE INSPECTION Request#: SR0082699 <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 immediately. Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #1 Demonstration of Knowledge <br /> OBSERVATIONS:Owner Peter Panyasee took food safety class 10/07/20. E mail certificate to inspector once it is received. <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 /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization <br /> OBSERVATIONS: Lack of ware washing sink. All shaved ice parts shall be washed-rinsed-sanitized at commissary. <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized.(113984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101(b-d), 114105, 114109, 114111, 114113, 114115(a, b, d), 114117, 114125(b), 114135, 114141) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine IQ: ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 127°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> LIC 4LK1202 <br /> VIN 533SC1012BK202244 <br /> OK to issue permit once fee is paid. Return to office to pay $179 and fill out paper work. Program 1633 <br /> Ok to sell shaved ice and pre-packaged ice cream and snacks <br /> FA0022594 SR0082699 SCO61 10108/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Mobile Food Facility Service Request Inspection Report <br />