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1 <br />. <br />Environrriltal Health Department <br />Time In: 8 -39 am <br />,0,..ckLoN <br />SANAOAQUIN <br />Time Out: 8:55 am <br />cc Greatness grows hPre <br />Mobile Food Facility Service Request Inspection Report <br />Name of Facility: BEACH BUM SHAVE ICE #8J40383 Date: 03/13/2020 <br />Address: 1717 S UNION ST , STOCKTON 95206 <br />Requestor: STEVEN E GRANT, BEACH BUM SHAVE ICE Telephone: (209) 598-9977 <br />Program Element: 1603- FOOD VEHICLE INSPECTION Request #: SR0081882 <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 foodbome illness. All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br />the food facility. <br />#35 Equipment/Utensils Approved and in Good Repair <br />OBSERVATIONS: One freezer is inoperative. Repair/replace. <br />CALCODE DESCRIPTION: All utensils and equipment shall be fully operative and in good repair. (114175). All utensils and equipment <br />shall be approved, installed properly, and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br />114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: Steve Grant <br /> <br />Expiration Date: September 28, 2021 <br /> <br />Warewash Chlorine (Cl): ppm Heat - °F Water/Hot Water Ware Sink Temp: 1260 F <br /> <br />Quaternary Ammonia (QA): PPm Hand Sink Temp: 107 ° F <br />tit - -COUNTY-- <br />FOOD ITEM -- LOCATION -- TEMP ° F -- COMMENTS <br />under counter refrigerator-- 39.00° F freezer-- 7.10° F <br />NOTES <br />PE1635 <br />License 8J40383 <br />Ok to issue 2020 permit once fee 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: Steven Grant, Owner <br />EH Specialist: STEPHANIE RAMIREZ Phone: (209) 468-9851 <br />FA0023506 SR0081882 SC061 03/13/2020 <br />Page 1 of 1 Mobile Food Facility Service Request Inspection Report EHD 16-23 Rev. 06/30/15