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Time In: 8:30 am <br /> Time Out: 8:47 am <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> y Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: THE CHESTNUT FARM#8Y45717 Date: 10/02/2017 <br /> Address: 2450 ALBERS RD , MODESTO 95357 <br /> Requestor: JOE AVILA, THE CHESTNUT FARM#i8Y45717 Telephone: (209) 522-3250 <br /> Program Element: 1603 - FOOD VEHICLE INSPECTION Request#: SR0078212 <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(CO: 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 /> License plate#(on registration) is 8Y45717 <br /> VIN ...4024 <br /> Signage OK <br /> OK to permit as a 1636 once the annual permit fee of$101 is paid <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: Joe Avila, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209) 468-0330 <br /> SR0078212 SC061 10/02/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />