Laserfiche WebLink
SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> Grtol: SS grow$ here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: INDIAN SHACK HUB, 1301 S SACRAMENTO ST, LODI 95206 <br /> #44 Premises: Clean/Litter Free;Vermin-Proof <br /> OBSERVATIONS:All openable windows shall be self-closing. Correct prior to operation. <br /> CALCODE DESCRIPTION:The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof. (114067 6), 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:Provide the business name in 3"minimum lettering on the customer side of the trailer. <br /> Provide the owner's name in 1" minimum lettering on the customer side of the trailer. <br /> Provide the commissary's city, state and zip code in 1"minimum lettering on the customer side of the trailer. <br /> Correct prior to operation. <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.[§114299(a)] 2. Business or <br /> operator name is not at least 3 inches high and address is not one inch high.[§114299(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 /> 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: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 door True prep--33.00°F 4 drawer True--35.00°F <br /> NOTES <br /> Change of ownership inspection conducted. <br /> Indian Snack Hub#4EM3326 <br /> VIN:4HXRC24292CO43694 <br /> OK to permit as a 1635 once the annual permit fee is paid ($237). <br /> No signature obtained <br /> FA0026243 SR0087390 SC061 11/16/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 3 Mobile Food Facility Service Request Inspection Report <br />