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SANJOAQUI Environmental Health Department <br /> 0 !�-L` COU T Time In: 8:19 am <br /> € Time Out: 8:54 am <br /> c,Foa�'`r Erectness grows Frere, <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: MAD ICE CREAM Date: 05/17/2022 <br /> Address: 719 W LINCOLN RD , STOCKTON 95207 <br /> Requestor: DANA OLVERA, MAD ICE CREAM Telephone: (209)518-1522 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0085284 <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:Mobile food facility does not have a commissary agreement. Provide a copy of a current commissary <br /> agreement to EHD 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 /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:The mobile food facility currently lacks name of business in three-inch font, and name of owner, city, <br /> state, and zip code in one-inch font posted on one side of the mobile food unit. Provide this information prior to permit <br /> issuance. <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.[§114299(a)] 2. Business or <br /> operator name is not at least 3 inches high and address is not one inch high.[§I 14299(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 /> Food Consultation: No major violations observed. Two minor violations identified. Re-inspection is not required. <br /> Ok to issue permit once permit fee is paid, owner id is posted on the mobile food facility, and a commissary agreement is <br /> provided to the EHD. <br /> SR0085284 SC061 05/17/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Mobile Food Facility Service Request Inspection Report <br />