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Time In: 9'30 am <br /> Time Out: 9:54 am <br /> San Joaquin County <br /> Z Environmental Health Department <br /> Q: a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 4�iPd'R�' <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: IDEAL ICE CREAM Date: 11/26/2018 <br /> Address: 2626 N WEST LN , STOCKTON 95205 <br /> Requestor: PERVEZ,ZAHID, IDEAL ICE CREAM Telephone: (209)405-7696 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0079907 <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 foodborne 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: n/a Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM—LOCATION--TEMP°F—COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> New food vehicle inspection(ice cream truck). <br /> License: 5S79499; VIN: 1FCJE39L5WHA65473 <br /> Pre-packaged foods only. <br /> Owner had another ice truck(#6L78703)that was permitted with San Joaquin County(PR0541952).Truck#61-78703 is <br /> inactive. <br /> Owner to complete 5021 and PINK forms, and submit ice cream commissary letter. <br /> Ok to permit as PE 1634 once all fees have been paid and above has been completed. <br /> 'OWNER MUST SUBMIT COMMISSARY LETTER BEFORE ISSUING PERMIT' <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: Zahid Pervez, owner <br /> EH Specialist: SCOTT SANGALANG Phone: (209)468-3452 <br /> SR0079907 SCO61 11/26/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />