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SIU I Environmental Health Department <br /> - i CUNTY I <br /> Greotness grows here, Time In: 828 am <br /> Time Out: 9:52 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: LOLLIPOPS ICE CREAM#6Z82637 Date: 03/23/2022 <br /> Address: 3412 E MINER AVE, STOCKTON 95205 <br /> Owner/Operator: ALDAMA TELLEZ,AURORA Telephone: <br /> Program Element: 1634-FOOD VEHICLE/CART(PREPKGD ONLY) <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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: 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 /> Routine Inspection. No violations were identified today. Official inspection report was provided to the operator. <br /> Okay to issue 2022 permit once permit fees are paid. <br /> PE 1634 <br /> Lic: 6Z82637 <br /> VIN: ....4731 <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 /> FA0015136 PR0534951 SCO01 03/23/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />