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r: � I I I Environmental Health Department <br /> Y SA N U <br /> f �Z wti <br /> —COUNTY— Time In: 8.33 am <br /> Time Out: 8:45 am <br /> c�`�� Greotr+ess �rGws here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: ROSAS PRODUCE #6VSE578 Date: 12/21/2021 <br /> Address: 2115 W BRISTOL AVE , STOCKTON 95204 <br /> Requestor: ROSA& BAZAN HIPOLITO-GARCIA, ROSAS PRODUCE #6VSE578 Telephone: (209)993-3976 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0084635 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: n/a 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 /> New produce truck <br /> License plate#6VSE578 <br /> VIN...5ABO96826 <br /> OK to permit as a 1636 once the annual permit 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: discussed w/Rosa Hipolito-Garcia, o <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0021134 SR0084635 SC061 12/21/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />