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r I Environmental Health Department <br /> SANJOAQU <br /> CUBIT <br /> GreotrrB55 grows here Timeln: 818am <br /> Time Out: 8:54 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: YUKI SHAVE ICE#4CS3670 Date: 12/21/2021 <br /> Address: 1430 E WEBER AVE, STOCKTON 95205 <br /> Owner/Operator: LAM, DAVID Telephone: (408)520-8097 <br /> Program Element: 1633-FOOD VEHICLE/CART(LTD FOOD PREP) <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 /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Observed carpet on floor in trailer. Remove carpet and provide a cleanable and nonabsorbent floor <br /> surface. Corrected on site, carpet was removed. <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth,durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: David Lam Expiration Date: December 17,2024 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °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 /> Routine inspection. <br /> LIC#4CS3670 <br /> Chlorine test strips and thermometer probes are available on site. <br /> Observed a warmer that was turned off, it was used for churros per operator. <br /> Discussed report with operator. <br /> No signature captured. <br /> Report given to operator. <br /> Okay to issue permit for 2022 once fee is paid. <br /> FA0008101 PR0506566 SCO01 12/21/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Mobile Food Facility OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />