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Environmental Health Department <br />Time In: <br /> 8:43 am <br /> 8:17 am <br />Time Out: <br />Program Element: 1634 - FOOD VEHICLE/CART (PREPKGD ONLY) <br />Telephone: Owner/Operator: TRAVIS, RODRICK <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 3412 E MINER AVE, STOCKTON 95205 <br />Date: 08/24/2022Name of Facility: MATTIE'S WAY ICE CREAM #Y521549 <br />Mobile Food Facility Official Inspection Report <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br />N/A <br />OVERALL INSPECTION NOTES AND COMMENTS <br />No Temperature Data Collected <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine Inspection. No violations identified. Official inspection report was provided to operator. <br />OKAY to issue 2022 permit once permit fee is paid. <br />Program Element: 1634 <br />VIN: 1UTCF10F7ES295509 <br />Note: License Plate (#Y521549) is missing from mobile food facility. <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:Phone:(209) 561-8923 <br />, <br />CLAUDIA MURO <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Mobile Food Facility OIR <br />FA0025385 PR0544660 SC001 08/24/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD