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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 1:45 pm <br /> •'C1FaR�;` Greotness grows here. <br /> Time Out: 2:32 om <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: HOUSE OF ICE CREAM#4RX9132 Date: 03/17/2021 <br /> Address: 2900 E HARDING WAY, STOCKTON 95205 <br /> Owner/Operator: TYLER, RODERICK JR Telephone: <br /> Program Element: 1635-MOBILE FOOD PREPARATION UNIT(MFPU) <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 /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Observed the waste water outlet currently lacking a cap at this time. Provide a cap to avoid possible <br /> leakage during transportation of the mobile food unit. Correct within 14 days. <br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances,shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Roderick Taylor Expiration Date: May 15,2024 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 Dr Turbo Air prep cooler--41.00°F 1 Dr Everest cooler--41.00°F <br /> NOTES <br /> Routine inspection. <br /> LIC#4RX9132 <br /> VIN#...5153 <br /> Previous report and food safety certificate is located on site. <br /> Ok to issue permit for 2021 once fees have been paid. <br /> Official inspection report emailed. <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: Roderick Taylor, Operator <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0026073 PR0546106 SCO01 03/17/2021 <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 />