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ll � � oA f� I N Environmental Health Department <br /> Irl �J <br /> • I' C U hl T Y Time In: 8:50 am <br /> Time Out: 9:20 am <br /> ` Greorness grows here. <br /> .- <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: LILLIE MAE'S Date: 07/20/2023 <br /> Address: 2670 EL CAMINO REAL , SANTA CLARA 95391 <br /> Requestor: RHONDA MANNING, LILLIE MAE'S Telephone: (408)396-0636 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0086977 <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 /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization <br /> OBSERVATIONS:Sanitizing test strips were not available at the facility. Obtain sanitizing test strips to ensure sanitizing <br /> solution has sufficient concentration for proper sanitation of food prep surfaces and kitchenware. Correct prior to operation. <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized. (I 13984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101 (b-d), 114105, 114109, 114111, 114113, 114115(a, b, d), 114117, 114125(b), 114135, 114141) <br /> #62 Not in Compliance with Commissary Requirements <br /> OBSERVATIONS:A San Joaquin County commissary agreement form signed by a Santa Clara County REHS is lacking. <br /> Provide 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.[§I14295(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: Rhonda Manning Expiration Date: March 13,2028 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Enhanced 1-dr cooler--41.00°F Enhanced 2-dr upright cooler--40.00°F <br /> Steam table--135.00°F <br /> NOTES <br /> No major violations. <br /> OKAY to issue permit once permit fee is paid,facility forms are submitted (pink and green), and a San Joaquin County <br /> commissary agreement signed by Santa Clara County is submitted. <br /> LIC:4VD4538 <br /> VIN: *****248013 <br /> SR0086977 SC061 07/20/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 2 Mobile Food Facility Service Request Inspection Report <br />