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SANANJOAQUIN <br /> Environmental Health Department <br />COUNTY <br />Greorness grows here <br />Mobile Food Facility Official Inspection Report <br />Time In 9.05 am <br />Time Out: 9:30 am <br />Name of Facility: KONA ICE OF TRACY #67328U1 Date: 12/30/2019 <br />Address 1717 UNION ST, STOCKTON 95206 <br />Owner/Operator: DUNCAN, DAVID Telephone: <br />Program Element: 1633 - FOOD VEHICLE/CART (LTD FOOD PREP) <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 />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: Lisa Duncan Expiration Date: October 20, 2020 <br /> <br />Warewash Chlorine (Cl): 100 ppm Heat: 0 F Water/Hot Water Ware Sink Temp: 120 ° F <br />Quaternary Ammonia (QA): PPm Hand Sink Temp: 1000 F <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />No Temperature Data Collected <br />NOTES <br />no violations during inspection <br />no refrigeration - all are freezers not in operation <br />ok to issue 1633 permit once all fees are 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: David Duncan, owner <br />EH Specialist: NICHOLAS WIESEMAN Phone: (209) 468-3445 <br />FA0023058 PR0540334 S0001 12/30/2019 <br />EHD 16-23 Rev, 06/30/15 Page 1 of 1 Mobile Food Facility OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com