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Time In: 9'00 am <br /> Time Out: 9:17 am <br /> aP4N+�. San Joaquin County <br /> 2 Environmental Health Department <br /> tl: <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.s4gov.oralehd <br /> 4C1 6'A� <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: ASH AND OIL#4NZ1494 Date: 02/28/2018 <br /> Address: 1100 RICHARDS BLVD,SACRAMENTO 95811 <br /> Owner/Operator: LABRA, VENICE 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 foodborne illness.All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #44 Premises: Clean/Lifter Free; Vermin-Proof <br /> OBSERVATIONS: Provide a self closing device on the entrance door in 1 week. <br /> CALCODE DESCRIPTION: The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof.(114067 Q), 114123, 114143(a) & (b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Venice Labra Expiration Date: February 13,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> Steam table— 135.00°F 2 dr Atosa prep cooler--41.00°F <br /> NOTES <br /> -Previous report on site <br /> -Only owner operated at this time <br /> Ok to issue permit for 2018 after the fees are paid. <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: I� Name and Title: Venice Labra, Owner <br /> EH Specialist: LEYNA HUYNH Phone: (209)468-3446 <br /> FA0024301 PR0542315 SC001 02/28/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility OIR <br />