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S A :J O Q V I � <br /> Ipl�r Environmental Health Department <br /> COUNT <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: THE BREW LIFE COFFEE BAR LLC#4UJ2422, 1211 S SEVENTH ST, MODESTO 95351 <br /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:Commissary address posted as part of Owner Identification is not correct. Provide a correct commissary <br /> address city, state and zip code at least 1 inch high today. <br /> CALCODE DESCRIPTION: 1. The business name or the name of the operator,city state and ZIP code,and the name of the permittee if <br /> different from the business name is not clearly visible on the customer side of the mobile food facility.[§I14299(a)] 2. Business or <br /> operator name is not at least 3 inches high and address is not one inch high.[§114299(b)] 3. Sign is not in contrasting color with the <br /> vehicle exterior.[§114299(b)] 4. For a motorized vehicle and a mobile support unit, the sign is not present on both sides of vehicle. <br /> [§114299(c)] <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Sue Quilici Expiration Date: May 13,2027 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 113°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 101 IF <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 D Komos cooler--35.00°F 2 D display cooler--37.00°F <br /> NOTES <br /> Routine inspection. <br /> The Brew Life Coffee Bar LLC <br /> LIC#4UJ2422 <br /> Selling coffee gourmet. <br /> QUAT and strips are on site. <br /> Okay to issue permit for 2023 once fee is 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: Name and Title: <br /> EH Specialist: GEHANE FAHMY Phone: (209)616-3052 <br /> FA0027073 PR0547581 SCO01 12/30/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 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 />