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- SANAOAQUIN <br />44: <br />4S:ex Greotness grows here <br />Environmental Health Department <br />Time In. A.4q am <br />Time Out: 9.22 am <br /> <br />Mobile Food Facility Service Request Inspection Report <br />Name of Facility: KLOUD 9 #09094A1 Date: 08/02/2019 <br />Address: 1430 E WEBER AVE , STOCKTON 95205 <br />Requestor: THANN, MOLINE, KLOUD 9 Telephone: (209) 676-0007 <br />Program Element: 1603 - FOOD VEHICLE INSPECTION Request #: SR0080974 <br />Inspection Type: 061 - CONSULTATION <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: The mobile food unit it currently lacking owner's information. Provide the name of the establishment in <br />minimum 3" font and the city, state, zip and name of owner in a minimum 1" font. Provide before operation. <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. g114299(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: N/A Expiration Date: <br /> <br />Warewash Chlorine (Cl): ppm Heat: Water/Hot Water Ware Sink Temp: ° F <br />Quaternary Ammonia (CIA): Hand Sink Temp: ° F <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />No Temperature Data Collected <br />NOTES <br />Consultation inspection. <br />Mobile food unit is running off of power cells and two batteries for the freezer. <br />Program element: 1634 <br />Ok to issue permit for 2020 once fees have been paid. <br />Official inspection report given to to owner. <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 />InAz <br />Received by: Name and Title: moline thann, owner <br />EH Specialist: VICTOR ACEVEDO Phone: (209) 468-0337 <br />FA0021789 SR0080974 SC061 08/02/2019 <br />Page 1 of 1 Mobile Food Facility Service Request Inspection Report END 16-23 Rev. 06/30/15