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Time In: 11.11 am <br />Time Out: 11:44 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 />Food Program Official Inspection Report <br />Name of Facility: KCCS #CA695202 Date: 11/22/2015 <br />Address: 3550 N WILSON WAY,STOCKTON 95205 <br />Owner/Operator: PHAM, KIM THAI 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 />#7 Hot and Cold Holding Temperatures <br />OBSERVATIONS: Turbo Air47 F and Sanyo 44F. Provide 41 F or below. <br />Fried noodles 128F. Provide 135 F or above. <br />CALCODE DESCRIPTION: Potentially hazardous foods shall be held at or below 41/45°F or at or above 135°F. (113996, 113998, <br />114037, 114343(a)) <br />#27 Food Protected from Contamination <br />OBSERVATIONS: Aqua Fresca in containers (with sprouts) still being ladled outside. Cease ladling outside. ladling in <br />complete enclosure only. Corrected on site. <br />Dough being covered with screens. Provide actual lid to protect food from contamination. <br />CALCODE DESCRIPTION: All food shall be separated and protected from contamination. (113984 (a, b, c, d, f), 113986, 114060, <br />114067(a, d, e, j), 114069(a, b), 114077, 114089.1 (c), 114143(c)) <br />#35 Equipment/Utensils Approved and in Good Repair <br />OBSERVATIONS: Screens missing on windows. Repair in 1 week. <br />CALCODE DESCRIPTION: All utensils and equipment shall be fully operative and in good repair. (114175). All utensils and equipment <br />shall be approved, installed properly, and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br />114132, 114133, 114137, 114139, 114153, 114155. 114163, 114165, 114167, 114169, 114177, 114180, 114182) <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: Minh Luu Expiration Date: October 17, 2020 <br /> <br />Warewash Chlorine (Cl): 100 ppm Heat: ° F Water/Hot Water Ware Sink Temp: 135 ° F <br /> <br />Quaternary Ammonia (QA): PPm Hand Sink Temp: 134 ° F <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />FA0006325 PR0504781 SC001 11/22/2015 <br />EHD 16-23 Rev. 06/30/15 Page 1 of 2 Food Program OIR