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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Time In: 2 <br /> E"rpm <br /> ^'•ti7F Opt�� Greotness grows here. :49 <br /> Time Out: 2:49 am <br /> Food Program Official Inspection Report <br /> Name of Facility: MOLE CARMELITA Date: 05/22/2020 <br /> Address: 10731 E ADA AVE, STOCKTON 95215 <br /> Owner/Operator: CERVANTES, JAVIER& FRANCISCA Telephone: (209)747-6683 <br /> Program Element: 1609-CLASS B COTTAGE FOOD-INDIRECT SALES <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Javier A.Cervantes Expiration Date:August 24,2023 <br /> Warewash Chlorine(Cl): 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 /> Routine inspection. <br /> Observed no violations while on site. <br /> Facility mainly keeps all ingredients frozen or freshly used. <br /> Facility is well kept and all ingredients are stored properly. <br /> Previous reports and food certification on site. <br /> Ok to operate. <br /> Official inspection report mailed. <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: VICTOR ACEVEDO Phone: (209)468-0337 <br /> FA0021753 PR0537735 SCO01 05/22/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />