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r I Environmental Health Department <br /> SANJOAQU <br /> C UNT <br /> Greotrre55 grows here Time In: 8.00 am <br /> Time Out: 8:30 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: KCS CHINESE FOOD#1VX3850 Date: 11/17/2022 <br /> Address: 442 KANSAS AVE, MODESTO 95356 <br /> Owner/Operator: PHAM, DINH QUOC&TRAN,TRONG Telephone: (209)649-4405 <br /> Program Element: 1635-MOBILE FOOD PREPARATION UNIT(MFPU) <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: Trong Thi Tran Expiration Date: February 06,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Steam table-- 150.00°F True 2-door cooler--38.00°F <br /> NOTES <br /> No Violations identified. <br /> OKAY to issue 2023 permit once permit fee has been paid. <br /> Program Element: 1635 <br /> LIC: 1 VX3850 <br /> Maintain a copy of the most current inspection report on-site. <br /> Please note:To minimize person-to-person contact, the signature of the person receiving the inspection report was not <br /> 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: CLAUDIA MURO Phone: (209)561-8923 <br /> FA0000756 PR0507954 SCO01 11/17/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility OIR <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 />