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Time In: 10-30 am <br /> Time Out: 11:06 am <br /> �P"O.WN' P San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �•.• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> '9C%FORM <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: ACAMPO STORE,THE Date: 09/01/2016 <br /> Address: 3085 E ACAMPO RD ,ACAMPO 95220 <br /> Requestor: DUNNIA E. HAREB,ACAMPO STORE Telephone: (209)466-7113 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0075462 <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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 114°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Walk In- 39.00°F 2D cooler--39.00°F <br /> NOTES <br /> OK to issue permit after fee is paid. PE 1615 <br /> Note: <br /> -Provide 120 F hot water for mop sink <br /> New owner purchased business September 2015. All prepackaged. No coffee nor open food. <br /> OIR emailed to'obadi07@hotmail.com' <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: Ahmed Obadi, co-owner <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0000242 SR0075462 SC061 09/01/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />