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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0544443
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
9/8/2021 5:00:36 PM
Creation date
4/8/2021 3:58:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0544443
PE
1633
FACILITY_ID
FA0025267
FACILITY_NAME
SELINA'S SHAVED ICE #4SR3859
STREET_NUMBER
2210
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
16904012
CURRENT_STATUS
01
SITE_LOCATION
2210 W COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SANdOAQUIN Environmental Health Department <br /> Time I¢ 8.41 am <br /> ( L_J ISI T Y Time Out: 8:51 am <br /> Food Program Service Request Inspection Report <br /> Name of Facility: PAUL'S ICE CREAM Date: 03/22/2021 <br /> Address: 3412 E MINER AVE, STOCKTON 95205 <br /> Requestor: ANJALI SETIA, PAUL'S ICE CREAM Telephone (209) 518-7205 <br /> Program Element: 1603- FOOD VEHICLE INSPECTION Request#: SR0083439 <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 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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Observed bare wood menu board. <br /> Seat/paint so that this piece of equipment is non absorbant <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair.(114175).All utensils and equipment <br /> shall be approved, installed property, and meet applicable standards.(114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION --TEMP 0 F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> PE 1634 SAN <br /> Lic 7H96075 ENVIRONMENTAL HEALTH DEPT <br /> VIN IGTFGB15XB41126334 FOOD VEHICLE PERMIT <br /> OVeo issue permit once fee is paid. <br /> All pre packaged . <br /> Candy and ice cream <br /> Sig not captured due to COVID 1490 <br /> EXPIRES 12-31-21 <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: Ani Setia, Sig not captured, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> SR0083439 SC061 03/22/2021 <br /> EH016-23 Rev.08/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />
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