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San Joaquin County <br />Environmental Health Department <br />1868 East HazeIton Avenue, Stockton, CA95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Mobile Food Facility Service Request Inspection Report <br />Facility Name and Address: BEACH BUM SHAVE ICE #8J40383, 2440 S AIRPORT WAY , STOCKTON 95205 <br />#64 Lack of Proper Owner Identification <br />OBSERVATIONS: Provide the following signage on both sides of the vehicle: <br />Business name: 3" <br />Owner's name" 1" <br />City, state, and zip code: 1" <br />CALCODE 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 />#75 Noncompliance with Safety Requirements <br />OBSERVATIONS: Provide a first aid kit. <br />CAL CODE DESCRIPTION: 1. No first aid kit is available. First aid kit is not convenient. First aid kit is not in an enclosed case. 2. For <br />mobile food facilities that operate in more than one location during the day, food equipment and utensils are not equipped or stored so as <br />to prevent movement, spillage, or breakage in the event of a sudden stop, collision or overturn. 3. Light bulbs and tubes are not <br />completely enclosed with a plastic safety shield or equivalent. 4. There is no easily accessible and properly charged fire extinguisher <br />available. 5. There is no properly labeled, appropriately sized and located, second exit from an occupiable mobile food facility. 6. <br />Insulation is lacking from gas fired appliances. [§114323] <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: <br /> <br />Expiration Date: <br /> <br />Warewash Chlorine (CD: ppm Heat: ° F Water/Hot Water Ware Sink Temp 120 ° F <br /> <br />Quaternary Ammonia (QA): PPm Hand Sink Temp 100 ° F <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />1 dr SPT -- 41.00° F <br />NOTES <br />New consultation inspection <br />Ok to issue permit after the fee of $215 is paid. PE: 1635 <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 Clark, Owner <br />EH Specialist: LEYNA HUYNH <br /> <br />Phone: (209) 468-3446 <br />FA0023506 SR0077271 SC001 04/21/2017 <br />Page 2 of 2 Mobile Food Facility Service Request Inspection Report EHD 16-23 Rev. 06/30/15