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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.sigov.org/ehd <br />Mobile Food Facility Official Inspection Report <br />Time In: 8:50 am <br />Time Out: 9:10 am <br />Name of Facility: MELYS CHURROS Date: 05/22/2017 <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: 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 foodbome illness. All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br />the food facility. <br />#64 Lack of Proper Owner Identification <br />OBSERVATIONS: The owner ID is listed as Sacramento (home address). Change the signage on both sides of the cart to <br />the commissary address (Modesto). City, State and zip code shall be in 1" letters (minimum height). Correct by 1 week. <br />CAL CODE 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/east 3 inches high and address is not one inch high. [§114299(b)] 3. Sign is not in contrasting color with the <br />vehicle exterior. [§114299(b)] 4. For a motorized vehicle and a mobile support unit, the sign is not present on both sides of vehicle. <br />[§114299(c)] <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: Martha Gonzalez Expiration Date: April 12, 2021 <br /> <br />Warewash <br /> Chlorine (Cl): ppm Heat: ° F Water/Hot Water Ware Sink Temp: 121 ° F <br /> <br />Quaternary Ammonia (QA): ppm <br /> <br />Hand Sink Temp: 115 ° F <br /> <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />No Temperature Data Collected <br />NOTES <br />License plate #4AN9538 <br />VIN...090 <br />Chlorine and test strips available <br /> <br />0 \e__ +c) ar. -Rs._ 201 <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 />661 <br /> <br />Received by: Name and Title: Panfilo Gonzalez, owner <br />EH Specialist: KADEANNE LIN HARES Phone: (209) 468-0330 <br />FA0019589 PR0529565 SC001 05/22/2017 <br />Page 1 of 1 Mobile Food Facility OIR EHD 16-23 Rev. 06/30/15