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Time Irt 9 nn am <br /> Time Out: 9:30 am <br /> �atau!n".rA San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> F.. - Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> I' 61A" <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: ASH AND OIL#4NZ1494 Date: 10/18/2017 <br /> Address: 1100 RICHARDS BLVD , SACRAMENTO 95811 <br /> Requestor: VENICE LABRA, ASH AND OIL#4NZ1494 Telephone: (808) 866-8806 <br /> Program Element: 1603- FOOD VEHICLE INSPECTION Request#: SR0078269 <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 Califomia Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specked 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.Noncompliance may warrant immediate closure o/ <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Venice Lebra Expiration Date: February 13,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 126°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: `1260F <br /> FOOD ITEM —LOCATION --TEMP°F--COMMENTS <br /> 2 door prep--35.00°F steam table—200.00°F <br /> NOTES <br /> ok to issue permit once signature from Sacramento Co is provided <br /> Program 1635 Fee $237 LIC 4N1494 VIN CA1163647 <br /> Work on the following: <br /> 1. Some walls are greasy. Continue to remove grease on a routine basis. <br /> 2. Provide CA on exterior label by 1 week <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: Venice Lebra, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> SR0078269 SC061 10/18/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />