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r SANJOAQUI Environmental Health Department <br /> COUNTY— Time In: 8.30 am <br /> + f <br /> Greatness <br /> Out: 9:15 am <br /> ' <br /> G <br /> i�1F�s{4tt!' reatness grows here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: KREPE DOG#4MS9751 Date: 03/10/2022 <br /> Address: 1211 S SEVENTH ST, MODESTO 95351 <br /> Requestor: SAME Telephone: <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0084978 <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: Eileen Gonzalez Expiration Date: November 27,2025 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Everest 3-Door Cooler--41.00°F Steam Table--173.00°F <br /> NOTES <br /> Food Consultation. No violations identified during the inspection. <br /> VIN: 1W9852035EF522009 <br /> LIC:4M59751 <br /> Okay to issue permit once permit fees are paid. <br /> Program Element: 1635 <br /> Maintain a copy of the official inspection report on-site. <br /> To minimize person-to-person contact,the signature of the person receiving the inspection report was not captured. <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: <br /> EH Specialist: CLAUDIA MURO Phone: (209)561-8923 <br /> SR0084978 SC061 03/10/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />