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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0545465
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/28/2022 11:08:40 AM
Creation date
12/28/2022 11:06:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0545465
PE
1634
FACILITY_ID
FA0025811
FACILITY_NAME
MAX SS ICE CREAM #6V08997
STREET_NUMBER
3412
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14339016
CURRENT_STATUS
01
SITE_LOCATION
3412 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Time In: <br /> 8:30 am <br /> 8:15 am <br />Time Out: <br />Program Element: 1634 - FOOD VEHICLE/CART (PREPKGD ONLY) <br />Telephone: Owner/Operator: TELLEZ GUZMAN, JORGE <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 3412 E MINER AVE, STOCKTON 95205 <br />Date: 12/21/2022Name of Facility: MAX SS ICE CREAM #6V08997 <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 /> #35 Equipment/Utensils Approved and in Good Repair <br />OBSERVATIONS: Observed ice build up on top of large chest freezer. Clean and repair as necessary. <br />Observed exposed wood on lid of large chest freezer. Paint wood and provide a cleanable surface within 1 week. <br />CALCODE DESCRIPTION: All utensils and equipment shall be fully operative and in good repair. (114175). All utensils and equipment <br />shall be approved, installed properly, and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br />114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <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 />OVERALL INSPECTION NOTES AND COMMENTS <br />small chest freezer -- 15.00º F large chest freezer -- 2.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. <br />LIC 6V08997 <br />VIN...68286 <br />Prepackaged only. <br />Discussed report with operator. <br />No signature captured. <br />Maintain a copy of this report on site when operating. <br />Ok to issue 2023 permit once permit fee is paid. <br />Page 1 of 2EHD 16-23 Rev. 09/16/2020 Mobile Food Facility OIR <br />FA0025811 PR0545465 SC001 12/21/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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