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SIU I Environmental Health Department <br /> - i COUNTY I <br /> Greotne55 grows here Time In: 12.04 pm <br /> Time Out: 12:34 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: MOLE CARMELITA Date: 07/17/2023 <br /> Address: 10731 E ADA AVE, STOCKTON 95215 <br /> Owner/Operator: CERVANTES, JAVIER& FRANCISCA Telephone: (209)747-6683 <br /> Program Element: 1609-CLASS B COTTAGE FOOD-INDIRECT SALES <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: Javier A.Cervantes Expiration Date:August 24,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 104°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Whirlpool-cooler--41.00°F <br /> NOTES <br /> No violations identified.Verified label,food manager and food handler certificates, and laboratory results (via email). <br /> Okay to issue CFO class B permit. Permit emailed to operator. <br /> Print and maintain a copy of the most current inspection report on-site. <br /> Note: The signature of the person receiving the inspection report was not obtained during the inspection. <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 /> FA0021753 PR0537735 SCO01 07/17/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Food Program OR <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 />