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SAN.PIOAQUIN Environmental Health Department <br /> S ► COUNTY---- <br /> Time In: 11-91, <br /> am <br /> Greotness grows here. <br /> Time Out: 9:40 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: BEEF&BUFFALO JERKY STORE#1HU4735 Date: 12/18/2018 <br /> Address: 4342 DALE RD, MODESTO 95356 <br /> Owner/Operator: HORMAN, MICHAEL J Telephone: (209)988-0014 <br /> Program Element: 1634-FOOD VEHICLE/CART(PREPKGD ONLY) <br /> Inspection Type: ROUTINE INSPECTION-Operating Permit <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 /> All pre-packaged jerky. <br /> License: 1 HU4735 <br /> Ok to issue 2019 permit once all fees have been 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 /> 1/64 <br /> Received by: Name and Title: Michael Horman, owner <br /> EH Specialist: SCOTT SANGALANG Phone: (209)468-3452 <br /> FA0016168 PRO524052 SCO01 12/18/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />