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S A NJ O A Q U I N Environmental Health Department <br /> u N-f Y- - Time In: g*an em <br /> Time Out: 1n-19 am <br /> t n l'SS rC. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: ROMAN'S FOOD - Date: 01/12/2021 <br /> Address: 972 N GOLDEN GATE AVE, STOCKTON 95205 <br /> Requestor: MANUEL ROMAN,ROMAN'S FOOD Telephone: (209)898-5676 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0083137 <br /> Inspection Type: 061 -CONSULTATION <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 fimefreme. Violations that are classed as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediateN.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> 7.�,y�w `. „ y .yDj',-, -, ,�y„OVERALL INSPtiECTI NNO 11 OTES ANDCOMMENTS„FI ,,,' ve'r,Lt:' �F, J %Y'tE_" 5 ,s''"rm,.' , <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 /> Consultation inspection. <br /> Mobile food cart is used to sell roasted whole peanuts and nothing else. <br /> Operator will return to the office with documentation of Contra Costa County allowing him to sell roasted Garbonzo Beans. <br /> During that time the cart will be inspected for hot running water reaching 100F for hand washing and 120F for ware-washing. <br /> Program element: 1633 <br /> Ok to issue permit for 2021 once fees have been paid. <br /> Official inspection report given to operator. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections ofthe 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: Manuel Roman, Operator <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> SR0083137 SC061 01/12/2021 <br /> EHD 16.23-Rev.09/16/2020 Page 1 of 1 Mobile Food Fedlity Service Request Inspection Report <br />