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r S � OAQUIN Environmental Health Department <br /> -COUNTY <br /> Grratness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: 209 ICE CREAM Date: 04/04/2025 <br /> Address: 435 MAZE BLVD , MODESTO 95351 <br /> Requestor: Telephone: ()- <br /> Program Element: 1603- FOOD PLAN CHECK(1 HR MIN) Request#: AP2501878 <br /> Inspection Type: 2160- Field Activity/Other Inspection <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 <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 /> New ice cream truck(van) <br /> License plate#5AZT727 <br /> VIN1 B4GP44R8XB576019 <br /> OK to permit as a 1634 (pre-packaged food only)once the annual permit fee is paid ($120+$15 tech fee=$135) <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/owner, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> AP2501878 SC2160 04/04/2025 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />