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SAJOAQUIN Environmental Health Department <br /> Tim2 r. <br /> —COUNTY_ Timmee : 9,21 am <br /> OOutut: 8:47 am <br /> Greotness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: OSMAR CATERING Date: 11/30/2020 <br /> Address: 2440 S AIRPORT WAY, STOCKTON 95206 <br /> Requestor: GLADIS BOLANOS, OSMAR CATERING Telephone (510) 598-5292 <br /> Program Element: 1603 - FOOD VEHICLE INSPECTION Request#: SR0082934 <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 /> #41 Plumbing,Maintained;Approved Back Flow Device <br /> OBSERVATIONS:The fresh water inlet lacks a cap. Obtain a cap for the fresh water today. <br /> CALCODE DESCRIPTION: The potable water supply 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 water 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 /> #62 Not in Compliance with Commissary Requirements <br /> OBSERVATIONS: Commissary letter needed. Provide a signed commissary letter. <br /> The letter must be provided prior to issuance of the permit. <br /> CALCODE DESCRIPTION: 1. The mobile food facility fails to operate in conjunction with a commissary a mobile support unit. <br /> [§114295(a)] 2. The mobile food facility is not stored in a location approved by the enforcement agency.[§114295(c)] 3. Mobile support <br /> unit is not operated out of a commissary.[§114295(d)] <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Gladis Bolanos Expiration Date:January 10,2022 <br /> Warewash Chlorine(CD: 200 ppm Heat: °F Water/Hot Water Ware Sink Temp: 135-F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 135°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> reach-in refrigerator--40.00°F hot hold cabinet-- 168.00°F <br /> steam table-- 170.00°F <br /> NOTES <br /> New to the county <br /> License plate#2X52045 <br /> VIN...328645 <br /> SR0082934 SC061 11/30/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Mobile Food Facility Service Request Inspection Report <br />