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Environmental Health Department <br />Time In: <br />10:52 am <br />10:15 am <br />Time Out: <br />Program Element: 1633 - FOOD VEHICLE/CART (LTD FOOD PREP) <br />Telephone: (209) 825-3083 Owner/Operator: MOVASAGH, ALI <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 1205 E NORTH ST, MANTECA 95336 <br />Date: 01/05/2022Name of Facility: COFFEE KLATCH (CART) <br />Mobile Food Facility Official Inspection Report <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 /> #21 Hot and Cold Potable Water Not Available <br />OBSERVATIONS: Hospital cafeteria 3 comp sink, used by facility to wash utensils, has temp at 115F. Provide 120F or <br />more today. <br />CALCODE DESCRIPTION: An adequate, protected, pressurized, potable supply of hot water and cold water shall be provided at all times. <br />(113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> #35 Equipment/Utensils Approved and in Good Repair <br />OBSERVATIONS: 2 sliding door cooler has unsecured sliding doors. Repair doors in 1 week. <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 200 <br /> 160 115 <br /> 122 <br />Ali Movasagh April 04, 2024 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />1 D Bev Air cooler -- 41.00º F 2 sliding D Bev Air cooler -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Facility is using hospital cafeteria dish washer and 3 comp sink to wash utensils. <br />Okay to issue 2022 permit once fee is paid. <br />Page 1 of 2EHD 16-23 Rev. 09/16/2020 Mobile Food Facility OIR <br />FA0012549 PR0516312 SC001 01/05/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD