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ll � � oA f� I N Environmental Health Department <br /> Irl �J <br /> • I' C U hl T Y Time In: 8:20 am <br /> Time Out: 9:00 am <br /> ` Greorness grows here. <br /> .- <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: G KAUR#5V97118 Date: 12/05/2023 <br /> Address: 3412 E MINER AVE , STOCKTON 95205 <br /> Requestor: GURPREET SINGH, G. SINGH Telephone: (209)346-3007 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0087496 <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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Observed ice accumulation on the right side of the freezer. Remove ice and clean as needed. Correct <br /> within three days. <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 /> #62 Not in Compliance with Commissary Requirements <br /> OBSERVATIONS:Mobile food facility does not have a commissary agreement. Provide a copy of a current commissary <br /> agreement to EHD prior to permit issuance. <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 /> 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 /> No major violations. <br /> *Needs commissary agreement,then OKAY to issue 2024 permit once permit fee is paid and 5021 is updated. <br /> PROGRAM ELEMENT: 1634 <br /> LIC: 5V97118 <br /> Print and maintain a copy of the most current inspection report on-site. <br /> FA0017651 SR0087496 SC061 12/05/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 2 Mobile Food Facility Service Request Inspection Report <br />