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SANAAQUIN <br />COUNTY <br />Greothess grows hp: <br />Environmental Health Department <br />Time In: 8.31 am <br />Time Out: 8:51 am <br />Mobile Food Facility Official Inspection Report <br />Name of Facility: KONA ICE OF TRACY #67328U1 Date: 12/28/2018 <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 <br /> <br />Expiration Date: October 20, 2020 <br /> <br />Warewash Chlorine (Co: ppm Heat: ° F Water/Hot Water Ware Sink Temp: 120 ° F <br /> <br />Quaternary Ammonia (QA): <br />FOOD ITEM -- LOCATION --TEMP ° F --COMMENTS <br />left freezer ---12.00° F <br />NOTES <br />Hand Sink Temp: 100 ° F <br />right freezer -- -2.40° F <br />PPm <br />quat sanitizer and test strips available <br />License plate #67328U1 <br />OK to permit for 2019 once 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: Lisa Duncan, owner <br />EH Specialist: KADEANNE LINHARES Phone: (209) 468-0330 <br />FA0023058 PR0540334 SC001 12/28/2018 <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 1 F 209 464-0138 I www.sjcehd.com