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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLn@SS 5rws hemTime In: 1155 am <br /> Time Out: 12:25 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: MISS DULCELICIOUS Date: 08/08/2022 <br /> Address: 1005 E PESCADERO AVE,TRACY 95304 <br /> Owner/Operator: DONESA-MANTO, DULCE Telephone: <br /> Program Element: 1681 -COMMISSARY(VEHICLE/CART) <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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 111 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 6 door True--35.00°F hand sink--118.00°F <br /> restroom hand sink-- 111.00°F 3 comp sink--122.00°F <br /> NOTES <br /> Operator uses this facility as a commissary for her catering operation. Equipment used: prep table, 6 door True refrigerator, <br /> hand sink, and restroom. <br /> Food prepped (cut, sliced, assembled)at facility: BBQ pork and chicken skewers, macaroni salad, lumpia. <br /> Cooking occurs on site at catering events. <br /> Warewashing of equipment and utensils occurs at the 3-comp sink using the manual warewash procedure. Facility provides <br /> sanitizer. <br /> Food is stored at the facility in between events(no food on site this date). <br /> Operator uses the facility on Mondays. <br /> Food is sourced from Restaurant Depot, Costco and Smart&Final. <br /> No food prep or warewashing shall occur at home. <br /> No signature obtained <br /> Report typed 8-8-22 4:06p-4:16p <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: discussed w/Dulce Donesa-Manto, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0027008 PR0547503 SCO01 08/08/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Food Program OR <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 />