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� �' -%,y Environmental Health Department <br /> V � 0QI0 <br /> Time In: n•aa <br /> COUNTY <br /> 1 + Time Out: 9:25 am <br /> GreOtne$s. grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: JAVA J'Z INC #JAVA JZ Date: 05/24/2019 <br /> Address: 7925 N THORNTON RD,STOCKTON 95209 <br /> Requestor: BURCHARD,JUSTIN L,JAVA J'Z INC #JAVA JZ Telephone: (209)327-3000 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0080663 <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 /> #64 Lack of Proper Owner Identification <br /> 0BSERVATIONS:Mobile food unit lacks owner's name,city,state and zip in a minimum 1"font size. Provide within 14 <br /> days. <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.[§114299(b)] 3.Sign is not in contrasting color with the <br /> vehicle exterior.[§114299(b)] 4.Fora 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: Justin L Burchard Expiration Date:December 05,2019 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 127°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 104°F <br /> FOOD ITEM--LOCATION—TEMP°F—COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Previous reports and food certification on site. <br /> LIC#JavaJz <br /> VIN#1WC20OF2244051920 <br /> Facility contains state insignia. <br /> Program element 1633 <br /> Ok to issue pemit once fees have been paid. <br /> Official inspection report given 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 Califomia 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: Justin Burchard,Owner <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> FA0015215 SR0080663 SC061 05/24/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />