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r SANJOAQUI Environmental Health Department <br /> .,+ <br /> COUNTY— Time In: 8.45 am <br /> }' Time Out: 9:17 am <br /> G <br /> i�lFOSi4,k reatness grows here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: KIM THU CHINESE&AMERICAN FOOD#4NK6792 Date: 09/23/2021 <br /> Address: 2440 S AIRPORT WAY, STOCKTON 95206 <br /> Requestor: DANG, DIEP THI NGOC, KIM THU CHINESE&AMERICAN FOOD Telephone: (209)323-8494 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0084256 <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:Top load freezer has a broken lid and 2 D everest cooler has broken handles of both doors. Repair/ <br /> replace broken items in 2 weeks. <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 properly,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 /> OBSERVATIONS <br /> Name on Food Safety Certificate: Thinh Huynh Expiration Date:June 23,2025 <br /> Warewash Chlorine(Cl): 200 ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 117°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 D Everest cooler--39.00°F Steam table--157.00°F <br /> NOTES <br /> Kim Thu Chinese and American Food trailer <br /> LIC#4 N K6792 <br /> VIN#....171981 <br /> Registration is provided. <br /> COMMISSARY LETTER IS REQUIRED. <br /> Trailer was permitted in Napa County for 2021. <br /> Chlorine test strips and bleach are available on site. <br /> Fire extinguisher and first aid kit are on site. <br /> Hood exhaust fans and lights are working. <br /> Okay to operate when fee is paid and COMMISSARY LETTER is provided. <br /> PE 1635$237 to be paid for the new health permit. <br /> 5021 form and pink form to be filled. <br /> FA0007506 SR0084256 SC061 09/23/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Mobile Food Facility Service Request Inspection Report <br />