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°• ►I �� Illlr<I Environmental Health Department <br /> �1 <br /> �. �J r� U 111 <br /> -COUNTY <br /> COUNTY Time In: 9:00 am <br /> - rT� <br /> Time Out: 9:15 am <br /> <1 Greotrless grows here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: CRUZ PRODUCE Date: 11/02/2023 <br /> Address: 12154 CLAY STATION RD , HERALD 95638 <br /> Requestor: ESTEBAN &ELVIRA CRUZ, CRUZ PRODUCE Telephone: (916)661-1496 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0087378 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Produce Truck Consultation. <br /> LIC 67220G3 <br /> Vin 5TFAZ5CN4MX112361 <br /> OK to issue permit once fee is paid and 5021 form is updated. <br /> PE 1636($107) <br /> Note: Sign for vehicle was not available(sign was at home). Photo provided. Provide business name(3 inches)and city, state, <br /> zip(1 inch minimum)on both sides of truck. <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: FRANCISCO RUIZ Phone: (209)616-3032 <br /> FA0021872 SR0087378 SC061 11/02/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />