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San Joaquin County <br />Environmental Health Department <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www sigov org/ehd <br />Mobile Food Facility Service Request Inspection Report <br />(2_ 5L11;49 <br />Time In. 1.29 pm <br />Time Out: 2:46 pm <br />Name of Facility: COSTA'S FINEST KETTLE CORN Date: 10/24/2016 <br />Address: 1376 E TURNER RD, LODI 95240 <br />Requestor: ALVIN COSTA, COSTA'S FINEST KETTLE CORN Telephone: (209) 810-0608 <br />Program Element: 1601 - FOOD PLAN CHECK Request #: SR0075622 <br />Inspection Type: 523 - Plan Check/Report Review <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 foodbome 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: <br /> <br />Expiration Date: <br /> <br />Warewash Chlorine (Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120 ° F <br /> <br />Quaternary Ammonia (QA): 200 ppm Hand Sink Temp: 120° F <br />FOOD ITEM -- LOCATION -- TEMP ° F -- COMMENTS <br />2D True -- 39.00° F <br /> <br />NOTES <br />vin: ...06885 <br />Lic: 91248N1 <br />SPCM 27710 <br />This is a final plan check for new vehicle. Okay to issue permit after fee is paid. PE 1635 <br />Notes: Verified two Waste water tanks approximately 52 g and 20 g <br />Verified 12,000 watts generator and water heater outside. <br />OIR emailed to Alvin Costa <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: alvin costa, owner <br />EH Specialist: JEFFREY WONG Phone: (209) 468-0335 <br />SR0075622 SC523 10/24/2016 <br />EHD 16-23 Rev, 06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report