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t "` °• ►I �� Illlr<I Environmental Health Department <br /> �1 <br /> U 111 <br /> -COUNTY— <br /> Time <br /> Gf$oLIS@SS f wS hem Time <br /> In: 8.09 am <br /> Time Out: 8:18 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: PANADERIA EDUARDO#08805H1 Date: 12/22/2021 <br /> Address: 890 SEVENTH AVE, SAN BRUNO 94066 <br /> Owner/Operator: EDUARDO MARTINEZ,ALEJANDRO Telephone: <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 /> 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 /> pre-packaged food/no food prep <br /> License plate#08805H1 <br /> VIN...V231904786 <br /> OK to permit for 2022 once the annual permit fee is paid <br /> No signature obtained <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: discussed w/owner, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0024895 PR0543785 SCO01 12/22/2021 <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 />