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r SANJOAQUI Environmental Health Department <br /> C U N T Time In: 8:05 am <br /> Greatness <br /> Out: 8:39 am <br /> G <br /> i�lFOSi4,k reatness grows here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: ICE ICE BABY ICE CREAM Date: 06/02/2022 <br /> Address: 435 MAZE BLVD , MODESTO 95351 <br /> Requestor: SAME Telephone: <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0085347 <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 /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:Provide the proper city, state and zip code at least 1 inch high at the service side of the truck before <br /> operating. <br /> CALCODE DESCRIPTION: 1. The business name or the name of the operator,city state and ZIP code,and the name of the permittee if <br /> different from the business name is not clearly visible on the customer side of the mobile food facility.[§I14299(a)] 2. Business or <br /> operator name is not at least 3 inches high and address is not one inch high.[§114299(b)] 3. Sign is not in contrasting color with the <br /> vehicle exterior.[§114299(b)] 4. For a motorized vehicle and a mobile support unit, the sign is not present on both sides of vehicle. <br /> [§114299(c)] <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 truck. <br /> Prepackaged food only. <br /> Ice Ice Baby le Cream <br /> LIC#783191_3 <br /> COMMISSARY LETTER AND REGISTRATION PROVIDED. <br /> Okay to operate. <br /> Okay to issue permit for 2022 once fee is paid. <br /> PE1634$107 to be paid for the annual health permit. <br /> Pink and green forms to be filled. <br /> SR0085347 SC061 06/02/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Mobile Food Facility Service Request Inspection Report <br />