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'°ulh 7 SHAUN Environmental Health Department <br /> —COUNTY— <br /> Greatness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: FRUTERIA FERNANDITA,730 S CALIFORNIA ST , STOCKTON <br /> #41 Plumbing Maintained; Approved Back Flow Device <br /> OBSERVATIONS: Provide for fresh water inlet a cap. <br /> CALCODE DESCRIPTION: The potable watersupply shall be protected with a backflow or back siphonage protection device, as required <br /> by applicable plumbing codes.(114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances, shall be maintained so as to prevent any contamination, and shall be kept clean, fully operative, and in good repair. Any hose <br /> used for conveying potable we ter shall be of approved materials, labeled,properly stored, and used for no other purpose.(114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS: Exterior of trailer lacks owner's name, city, state, and zip code. Provide. Letters shall be at least one inch <br /> in height. <br /> CALCODE DESCRIPTION: 1. The business name or the name of the operator, city state and ZIP code, and the name of the permittee if <br /> different from the business name is not clearly visible on the customer side of the mobile food facility.[§114299(a)] 2. Business or <br /> operator name is not at least3 inches high and address is not one inch high.[§114299(b)] 3. Sign is not in contrasting color with the <br /> vehicle exterior.[§114299(6)] 4. For a motorized vehicle and a mobile support unit, the sign is not present on both sides of vehicle. <br /> [§I14299(c)] <br /> #75 Noncompliance with,Safety Requirements <br /> OBSERVATIONS: Lack of 1st aid kit. Provide, immediately. <br /> CALCODE DESCRIPTION: 1. No first aid kit is available. First aid kit is not convenient. First aid kit is not in an enclosed case. 2. For <br /> mobile food facilities that operate in more than one location during the day, food equipment and utensils are not equipped or stored so as <br /> to prevent movement, spillage, or breakage in the event of a sudden stop, collision or overture. 3. Light bulbs and tubes are not <br /> completely enclosed with a plastic safety shield or equivalent. 4. There is no easily accessible and property charged fire extinguisher <br /> available. 5. There is no property labeled, appropriately sized and located, second exit from an occupiable mobile food facility. 6. <br /> Insulation is lacking from gas fired appliances.(§114323) <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 96°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 96°F <br /> FOODITEM--LOCATION --TEMP°F --COMMENTS <br /> 1 door Atosa--50.000 F <br /> NOTES <br /> LIC 4RE1876 <br /> Unable to issue permit at this time <br /> SR0082779 SCO61 10/27/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 3 Mobile Food Facility SeNloe Request Inspection Report <br />