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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 8:00 am <br /> Time Out: 8:15 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: PINEAPPLEWHIPS#4RP3463 Date: 11/17/2023 <br /> Address: 16201 HARLAN RD, LATHROP 95330 <br /> Owner/Operator: GOEDDE-TAPLIN, JANEEN Telephone: <br /> Program Element: 1633-FOOD VEHICLE/CART(LTD FOOD PREP) <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 /> #1 Demonstration of Knowledge <br /> OBSERVATIONS:The 5 year Food Safety Certificate is needed. The exam is scheduled to be taken 1-13-2024. Once the <br /> exam is taken and passed, provide a copy of the certificate to Kadeanne Linhares by e-mail or text(klinhares@sjgov.org). <br /> Obtain by 60 days. <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare,handle or serve non-prepackaged potentially hazardous food,shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <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: 127°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 127°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door reach-in--37.00°F <br /> NOTES <br /> Routine inspection conducted <br /> License plate#4RP3463 <br /> VIN...8Y202012 <br /> Quat sanitizer and test strips are available <br /> OK to permit for 2024 once the annual permit fee is paid ($179) <br /> No signature obtained <br /> report typed at the office 1:05p-1:12p <br /> FA0027883 PR0548714 SCO01 11/17/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Mobile Food Facility OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjgov.org/EHD <br />