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SANJOAQUI Environmental Health Department <br /> ,n !�-L. x COU T Time In: 10:55 am <br /> € Time Out: 11:30 am <br /> c,Foa�'`r Erectness grows Frere, <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: DOUBLEBACK LLC Date: 06/01/2022 <br /> Address: 5638 KERMIT LN , STOCKTON 95207 <br /> Requestor: CARLOS THOMPSON, DOUBLEBACK LLC Telephone: (209)915-7619 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0084502 <br /> Inspection Type: 523-Plan Check/Report Review <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 /> #1 Demonstration of Knowledge <br /> OBSERVATIONS:The owner or operator must take a food safety class/exam within 60 days from the date the permit is <br /> issued and provide this department with a copy of the certificate. <br /> All other employees must obtain a food handler card within 30 days of employment and maintain copies at the facility. <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare,handle or serve non-prepackaged potentially hazardous food,shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:The hot water is at 102 F to 111 F and it keep fluctuating.Adjust the water heater so that it maintains <br /> 120 F. Correct prior to operating. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> #62 Not in Compliance with Commissary Requirements <br /> OBSERVATIONS:Commissary agreement is required prior to issuing a permit. <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:Provide the name of the owner and the city, state and zip code, in 1 inch letters, on the front side of the <br /> trailer. <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.[§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 /> SR0084502 SC523 06/01/2022 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 2 Mobile Food Facility Service Request Inspection Report <br />