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� s``z SAN JOAQUIN Environmental Health Department <br /> '�. � "'—"COUNTY— me Out: u�nn�m <br /> Time Out: A:40 am <br /> 4 Greetness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: JOSE PRODUCE Date: 04/21/2021 <br /> Address: 929 WATSON AVE, MODESTO 95358 <br /> Requestor: JOSE ADOLFO HERNANDEZ,JOSE PRODUCE Telephone: (209)595-4926 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0083589 <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 Safely 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 contacted immediate N.Noncompliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: NIA Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F WaterfHot 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 /> LIC#6XHY929 <br /> VIN#...6539 <br /> Mobile food vendor will be selling prepackaged chicharrones, produced by Gaytan Foods in Southern California. <br /> Program element: 1634 <br /> Ok to issue permit for 2021 once fees have been paid and 5021 document has been updated. <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 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: Jose Adolfo Hernandez,Operator <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> SR0083589 SC061 0412112021 <br /> EHD 16-23 Rev.091162020 Page 1 of 1 Food Program Service Request Inspection Report <br />