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Environmental Health Department SAN.JOAQUIN <br />. --COUNTY- <br />.,• Greatness 9roves here. <br />Mobile Food Facility Official Inspection Report <br />Time In: 8.30 am <br />Time Out: 9:30 am <br />Name of Facility: BEACH BUM SHAVE ICE #8J40383 Date: 03/01/2019 <br />Address: 2440 S AIRPORT WAY, STOCKTON 95206 <br />Owner/Operator: CLARK, THAD Telephone: <br />Program Element: 1635 - MOBILE FOOD PREPARATION UNIT (MFPU) <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />iptATIp.Ns'a741\p;..0913REcTlyg.Aqp.o.Ns.,.{t.,,... <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; 113700. / <br />violations must be corrected within specified timeframe. Violations that are classified as "MAJOR" pose an immediate threat to public health and have the <br />potential to cause foodbome illness. All major violations must be corrected immediately. Non-compliance may warrant immediate closure of the food facility. <br />#6 Handwashing Facilities SupPlad'ind'ACCesilble'rA <br />OBSERVATIONS: Hand sink is lacking soap. Provide soap today. <br />CAL CODE DESCRIPTION: Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br />maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing, food preparation and the washing of <br />utensils and equipment. (113953, 113953.1, 114067(f)) <br />#41 Plumbing Maintained; Approved Beek Flovi DeviCettOWL <br />OBSERVATIONS: Pipe draining the 3 comp sink is leaking. Repair today. <br />CALCODE DESCRIPTION: The potable water supply shall be protected with a backflow or back siphonage protection device, as required <br />by applicable plumbing codes. (114192) All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br />ordinances, shall be maintained so as to prevent any contamination, and shall be kept clean, fully operative, and in good repair. Any <br />hose used for conveying potable water shall be of approved materials, labeled, properly stored, and used for no other purpose. (114171, <br />114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br />YOVERALLINPECTION'NOTESUID,COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: Steven Grant Expiration Date: September 28, 2021 <br /> <br />Warewash Chlorine (Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 126 ° F <br /> <br />Quaternary Ammonia (QA): <br />PPm <br /> Hand Sink Temp: 109 ° F <br />FOOD ITEM -- LOCATION -- TEMP 0 F -- COMMENTS <br />1 D cooler -- 32.00° F <br />NOTES <br />LIC# 8J40383 <br />VI N#.. 00703 <br />Chlorine test strips are available. <br />Okay to issue permit for 2019 once fee is paid. <br />FA0023506 PR0541049 SC001 03/01/2019 <br />EHD 16-23 Rev. 06/30/15 Page 1 of 2 Mobile Food Facility OIR <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 I F 209 464-0138 I www.sjcehd.com