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San Joaquin County <br />Environmental Health Department <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www sjgov org/ehd <br />Mobile Food Facility Official Inspection Report <br />Time In: 905 am <br />Time Out: 9:20 am <br />Name of Facility: MELYS CHURROS Date: 10/28/2016 <br />Address: 500 7TH ST, MODESTO 95354 <br />Owner/Operator: GONZALEZ, PANFILO;GONZALEZ,MARTHA Telephone: (916) 704-1289 <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. Non-compliance may warrant immediate closure of <br />the food facility. <br />#1 Demonstration of Knowledge <br />OBSERVATIONS: Food handler cards are not on site. Maintain a copy on site at all times. <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 />#21 Hot and Cold Potable Water Not Available <br />OBSERVATIONS: The hot water at the 3 comp sink is at 100 F. Adjust to 120 F or higher today. <br />CAL CODE DESCRIPTION: An adequate, protected, pressurized, potable supply of hot water and cold water shall be provided at all times. <br />(113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: <br /> <br />Expiration Date: <br /> <br />Warewash Chlorine (CI): ppm Heat: ° F Water/Hot Water Ware Sink Temp: 100 ° F <br />Quaternary Ammonia (QA): <br />PPm <br /> Hand Sink Temp: 100 ° F <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />No Temperature Data Collected <br />NOTES <br />Ok to issue permit for 2017 after the fees are paid. <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: Panfilo Gonzalez, Owner <br />EH Specialist: LEYNA HUYNH Phone: (209) 468-3446 <br />FA0019589 PR0535830 SC333 10/28/2016 <br />Page 1 of 1 Mobile Food Facility OIR EHD 16-23 Rev, 06/30/15