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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> GrtoWSS grow$ here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: HOUSE OF LAOS, 231 E GLENCANNON ST, STOCKTON <br /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:Vehicle lacks signage. Provide the business name in 3" (minimum)lettering. Provide the owner's name <br /> in 1" (minimum)lettering and provide the commissary city, state and zip code in 1"(minimum)lettering. Provide on both <br /> sides of the vehicle. <br /> Provide a photo of correction to Kadeanne Linhares when complete(klinhares@sjgov.org/209-616-3025). <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.[§I 14299(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 /> #75 Noncompliance with Safety Requirements <br /> OBSERVATIONS:Obtain a 10-BC rated fire extinguisher(fully charged)prior to operation. <br /> Obtain a first aid kit prior to operation. <br /> Provide a photo of correction to Kadeanne Linhares when complete(klinhares@sjgov.org/209-616-3025). <br /> CALCODE DESCRIPTION: 1. No first aid kit is available.First aid kit is not convenient. First aid kit is not in an enclosed case. 2.For <br /> mobile food facilities that operate in more than one location during the day, food equipment and utensils are not equipped or stored so as <br /> to prevent movement, spillage,or breakage in the event of a sudden stop, collision or overturn. 3.Light bulbs and tubes are not <br /> completely enclosed with a plastic safety shield or equivalent. 4. There is no easily accessible and properly charged fire extinguisher <br /> available. 5. There is no properly labeled,appropriately sized and located, second exit from an occupiable mobile food facility. 6. <br /> Insulation is lacking from gas fired appliances.(§114323] <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 123°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hot hold cabinet--159.00°F 2 door Nord -39.00°F <br /> hand sink--123.00°F 3 comp sink--123.00°F <br /> freezer--9.00°F <br /> NOTES <br /> Food plan check final inspection <br /> License plate#5678241 /VIN 1 GCHP32M9D3316985 <br /> Previously permitted in Santa Clara (last sticker is 2016) <br /> Food Handler Cards for Vickie&Lienekham (one person needs the 5 year Manager) <br /> SR0084310 SC523 05/02/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 3 Mobile Food Facility Service Request Inspection Report <br />