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SANOAQU I N Environmental Health Department <br /> COU NI T Y I Y Time In: 9.05 am <br /> Time Out: 9:33 am <br /> Grtorness grow$ here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: HAWAIIAN SNOW CONE& ICE CREAM BAR Date: 11/08/2021 <br /> Address: 3412 E MINER AVE , STOCKTON 95205 <br /> Requestor: OWNER Telephone: <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0084450 <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 /> #62 Not in Compliance with Commissary Requirements <br /> OBSERVATIONS:A current commissary letter is needed. Provide a current verification of commissary letter. <br /> CALCODE DESCRIPTION: 1. The mobile food facility fails to operate in conjunction with a commissary a mobile support unit. <br /> [§114295(a)] 2. The mobile food facility is not stored in a location approved by the enforcement agency.[§114295(c)] 3. Mobile support <br /> unit is not operated out of a commissary.[§I 14295(d)] <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 ice cream van <br /> License plate#8W12150 <br /> VIN 2B7KB31Z5TK172092 <br /> Permit not issued: need current commissary letter and vehicle registration. Once both are received, permit will be issued <br /> (1634) <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/Gabriel Alviter Lopez, o <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0023052 SR0084450 SC061 11/08/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />