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S A N J Q Q Q U IN Environmental Health Department <br /> - e Q U N T Y Time In: 120g pm <br /> Time Out: 1:20 am <br /> Greorness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: STOCKTON MOBIL 3 Date: 10/20/2020 <br /> Address: 2358 E WATERLOO RD , STOCKTON 95205 <br /> Requestor: ABDO NASHIR, KKC Telephone: (510)467-7964 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0082753 <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: Abdo K.Nagi Expiration Date:August 17,2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Consultation inspection. <br /> Facility will be preparing chicken on site in a portable deep fryer with a built in ventilation hood. <br /> The chicken will be stored in a rack inside of the walk in cooler until used. <br /> All prepared food will then be placed into a hot hold that is kept warm with heating lamps. <br /> The staff will prepare all food and distribute to the customers. <br /> The permit for the facility already allows for limited food preparation on site <br /> Official inspection report emailed. <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: <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0003496 SR0082753 SC061 10/20/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Food Program Service Request Inspection Report <br />