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Time In: 930 am <br /> Time Out: 10:30 am <br /> s4pAHlry^.fA San Joaquin County <br /> a Environmental Health Department <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> 4V a,Ap <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: AMOR MIO#968131-2 Date: 11/03/2020 <br /> Address: 491 DANBURY PL , LATHROP 95207 <br /> Requestor: IRMA SANCHEZ, AMOR MIO Telephone: (209)483-5277 <br /> Program Element: 1601 - FOOD PLAN CHECK Request#: SR0081787 <br /> Inspection Type: 523- Plan Check/Report Review <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 warrent immediate closure of <br /> the food facility. <br /> #1 Demonstration of Knowledge <br /> OBSERVATIONS: Food safety certificate is required by 60 days and food handler cards by 30 days. have copies available <br /> during next routine inspection. <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 orserve 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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Ci): 100 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 /> 2 door small cooler--39.00°F 2 door large cooler—41.00°F <br /> 1 door prep cooler--39.00°F steam table-- 135.000 F <br /> 1 door freezer— 10.00°F <br /> NOTES <br /> LIC 968131-2 <br /> VIN 1GDG5CE15F908632 <br /> Insignia is located in the interior. Above entrance door to the left. <br /> OK to issue permit once fee is paid. Return to office before sales takes place to pay permit fee of$237 and to fill out paper <br /> work. Program element 1635 <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: Irma Sanchez, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: <br /> SR0081787 SC523 11/03/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />