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SAN J O A Q U I Environmental Health Department <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: A MOVEABLE FEAST #4LL6977, 620 S SACRAMENTO ST, LODI 95240 <br /> #44 Premises: Clean/Litter Free; Vermin-Proof <br /> OBSERVATIONS:Observed gap in floor under griddle and on top of service windows. Per operator they had lost the <br /> original floor plate cover. Replace floor plate cover and seal service window gaps to keep facility vermin-proof. Correct within <br /> 2 weeks. <br /> CALCODE DESCRIPTION:The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof. (114067 6), 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: John Seed Expiration Date:January 30,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 dr True reach-in w/prep top--41.00°F 1 dr counter refrigerator--41.00°F <br /> hot hold--air temp--167.00°F <br /> NOTES <br /> Routine inspection. <br /> LIC#4LL6977 <br /> Sanitizer bucket- 100 ppm chlorine. <br /> Chlorine test strips available. <br /> Discussed report with operator. <br /> No signature captured. <br /> Handed report to operator. <br /> Maintain a copy of this report on site. <br /> Okay to permit for 2022 once fee is paid. <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: <br /> EH Specialist: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0021118 PR0536757 SCO01 12/15/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 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 />