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5 �3r� A � ( Environmental Health Department <br /> � -C4UNTY- -rime In: am <br /> Time Out: 10-1 <br /> 0 am <br /> C.rOotnet$ -9r40WS !here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: GALLARDO PRODUCE#19775V2 Date: 01/05/2021 <br /> Address: 327 E HAZELTON AVE,STOCKTON 95203 <br /> Requestor: GALLARDO DE JESUS CASTANEDA,GALLARDO PRODUCE#199775V2 Telephone: (209)242-6664 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0083106 <br /> Inspection Type: 061 -CONSULTATION <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 aria 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 immediateN.Nan-Compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Cerlifrcate: NIA 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 /> Consultation inspection. <br /> LIC#19775V2 <br /> VIN#...7112 <br /> Operator will be selling whale produce with mobile unit. <br /> Program element: 1636 <br /> Ok to issue permit for 2021 once fees have been paid and 5021 has been updated. <br /> Official inspection report given to operator. <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: Gallardo De Jesus-Castaneda,Opera_ <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0025187 SR0083106 SCO61 01105/2021 <br /> EHD 16-23 Rev,09116/2020 Page 1 of 1 Mobi]e Food Facility Service Request Inspection Report <br />