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r SANJOAQUI Environmental Health Department <br /> ,+ C U ( T Time In: 8:30 am <br /> }' Time Out: 8:54 am <br /> G <br /> i�lFOSi4,k reatness grows here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: CAJUN BAY SWEETS Date: 10/25/2022 <br /> Address: 484 LAKE PARK AVE , OAKLAND 94610 <br /> Requestor: KAREN CAGE, CAJUN BAY SWEETS Telephone: (336)247-1988 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0085934 <br /> Inspection Type: 061 -CONSULTATION <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 /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:Owner identification is lacking the city, state and zip code. Post city, state and zip code 1 inch minimum <br /> high on the service side of the cart before operating. <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.[§I14299(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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: N/A Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> New cart to San Joaquin County. <br /> Operating in different counties(Contra Costa,Alameda, etc..) <br /> Cajun Bay Sweets <br /> Selling only candies and balloons. <br /> LIC#01993M3 <br /> Commissary letter is not required. <br /> Okay to issue the permit for 2022 if fee is paid before November 1 St. <br /> Okay to issue the permit for 2023 if fee is paid November 1 st or after. <br /> PE1636 $107 to be paid for the new permit. <br /> Pink and green forms to be filled. <br /> SR0085934 SC061 10/25/2022 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 2 Mobile Food Facility Service Request Inspection Report <br />