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Time In: 8 -25 am <br />Time Out: 8:40 am <br />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 Official Inspection Report <br /> <br />Name of Facility: BEACH BUM SHAVE ICE #8J40383 Date: 12/28/2017 <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 />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 />#64 Lack of Proper Owner Identification <br />OBSERVATIONS: Owner identification is missing on the right side of the vehicle. Provide the owner's name in 1" minimum <br />lettering, and the city, state and zip code in 1' minimum lettering. <br />Correct by 2 weeks <br />CAL CODE DESCRIPTION: 1. The business name or the name of the operator city state and ZIP code, and the name of the permittee if <br />different from the business name is not clearly visible on the customer side of the mobile food facility. [§114299(a)] 2. Business or <br />operator name is not at least 3 inches high and address is not one inch high. [§114299(b)] 3. Sign is not in contrasting color with the <br />vehicle exterior. [§114299(b)] 4. For a motorized vehicle and a mobile support unit, the sign is not present on both sides of vehicle. <br />[114299(c)] <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: Steven Grant <br /> <br />Expiration Date: September 28, 2021 <br /> <br />Warewash Chlorine (CI): ppm Heat: ° F Water/Hot Water Ware Sink Temp: 124 ° F <br /> <br />Quaternary Ammonia (QA): ppm Hand Sink Temp: 119 ° F <br /> <br />FOOD ITEM -- LOCATION --TEMP ° F --COMMENTS <br />No Temperature Data Collected <br />NOTES <br />License plate #8J40383 <br />chlorine sanitizer and test strips available <br />OK to permit for 2018 once the annual permit 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: Thad Doug Clark, owner <br />EH Specialist: KADEANNE LINHARES Phone: (209) 468-0330 <br />FA0023506 PR0541049 SC001 12/28/2017 <br />Page 1 of 1 Mobile Food Facility OIR EHD 16-23 Rev. 06/30/15