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°• ►I �� Illlr<I Environmental Health Department <br /> �1 <br /> �. �J r� U 111 <br /> -COUNTY <br /> COUNTY Time In: 8:23 am <br /> - rT� <br /> Time Out: 8:52 am <br /> <1 Greotrless grows here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: FREEZY FROSTY LLC Date: 01/16/2024 <br /> Address: 79 N MENLO PARK ST, MOUNTAIN HOUSE 95391 <br /> Requestor: PATRICIA VERMILUS, FREEZY FROSTY LLC Telephone: (209)321-1817 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0087619 <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 /> OBSERVATIONS <br /> Name on Food Safety Certificate: n/a Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Consultation inspection <br /> All pre-packaged food/no food preparation <br /> License plate#24616R3 <br /> VIN W1 W4ECHY4LT031824 <br /> OK to permit as a 1634 once the annual permit fee is paid ($107) <br /> No signature obtained <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: discussed w/Patricia Vermilus, owne <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0087619 SC061 01/16/2024 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />