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SAWdOAQUIN <br />CC7lJNTY <br />Environmental Health Department <br />Time In: 9 05 am <br />Time Out: 9:33 am <br />Mohile Food Facilitv Service Request Inspection Report <br />Name of Facility: HAWAIIAN SNOW CONE & ICE CREAM BAR <br />Date: 11/08/2021 <br />Address: 3412 E MINER AVE, STOCKTON 95205 <br />Requestor: OWNER <br />Telephone <br />Program Element: 1603 - FOOD VEHICLE INSPECTION <br />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. [§114295(d)] <br />OBSERVATIONS <br />Name on Food Safety Certificate: n/a <br />Warewash Chlorine (CD: ppm Heal: ° F <br />Quaternary Ammonia(QA): ppm <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 />Expiration Date: <br />Wt <br />Ware Sink Temp: <br />Permit not issued: need current commissary letter and vehicle registration. On <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, c <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 Repon <br />