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° r I Environmental Health Department <br /> SAN-6-JOAQU <br /> CaLJT <br /> Greotness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: MOBLE CART, 730 S CALIFORNIA ST 95206 <br /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:Owner ID has wrong address and lacking the owner name. Provide the owner name and the proper <br /> address; city, state and zip code; at least 1 inch high on the service side of the trailer before operating. <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: Required Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 134°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 125°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 D Atosa reach in cooler/under prep table--37.00°F <br /> NOTES <br /> Change of ownership <br /> Mobile Cart LLC <br /> LIC#4RV3802 <br /> VIN#CA1164421 <br /> REGISTRATION IS PROVIDED <br /> Trailer was operating in SJ County. 2019 and 2020 Stickers posted on the trailer. <br /> Hood exhaust fans and light are working. <br /> Fire extinguisher and first aid kit on site. <br /> Bleach will be used to sanitize surfaces and utensils. <br /> COMMISSARY LETTER IS REQUIRED. <br /> Okay to issue 2023 permit once fee is paid and COMMISSARY LETTER is provided. <br /> PE1635 $237 to be paid for the new permit. <br /> 5021 form to be updated. <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 /> FA0025415 SR0086921 SC061 07/07/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />