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SANJOAQUI Environmental Health Department <br /> 0 !�-L` COU T Time In: 8.40 am <br /> € Time Out: 9:28 am <br /> c,Foa�'`r Erectness grows Frere, <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: KIK BASIL#1 MM6095 Date: 03/01/2022 <br /> Address: 2900 E HARDING WAY , STOCKTON 95205 <br /> Requestor: GLENN SIADOR, KIK BASIL Telephone: (209)244-8687 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0084929 <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 /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:Paper towels at the hand wash station were not currently stocked inside the single-use paper towel <br /> dispenser. Provide paper towels prior to operation. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(17) <br /> #62 Not in Compliance with Commissary Requirements <br /> OBSERVATIONS:The mobile food facility does not have a current commissary agreement. Provide a copy of a current <br /> commissary agreement to the front desk prior to permit issuance. <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: Glen Dungho Expiration Date:July 05,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 129°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2-door cooler--41.00°F True 1-door prep cooler--41.00°F <br /> Steam Table- 155.00°F <br /> NOTES <br /> Food Consultation: No Major Violations Observed. Two minor violations identified. Re-inspection is not required. Consultation <br /> report provided to owner. <br /> Okay to issue permit once permit fees are paid and commissary agreement is provided to EHD. <br /> PE 1635 <br /> LIC: 1 MM6095 <br /> FA0025346 SR0084929 SC061 03/01/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Mobile Food Facility Service Request Inspection Report <br />