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rA �J�AQUIN Environmental Health Department <br /> COUNTY <br /> �+ Time In: 9:00 am <br /> •'C1FaRrti`. Vreotness grows here. <br /> Time Out: 9:15 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: POPCORN ETC Date: 02/04/2021 <br /> Address: 100 S CHEROKEE LN, LODI 95240 <br /> Owner/Operator: SEALEY, CORRINE & ROBBIN Telephone: (209)625-5088 <br /> Program Element: 1634-FOOD VEHICLE/CART(PREPKGD ONLY) <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 /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:Owner moved to a new location. <br /> Provide on cart new sign with Facility name, name of operator, city, state, and zip code. Correct by 1 week <br /> CALCODE 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 least 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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Selling pre-packaged ice cream <br /> Ok to issue permit for 2021 <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: Corrine Sealey, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)616-3051 <br /> FA0021182 PR0506596 SCO01 02/04/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />