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r SANJOAQUI Environmental Health Department <br /> C U N T Time In: 11:45 am <br /> Greatness <br /> Out: 12:05 pm <br /> G <br /> i�lFOSi4,k reatness grows here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: HOPE CAFE Date: 04/01/2024 <br /> Address: 7373 WEST LN , STOCKTON 95210 <br /> Requestor: NANCY DAVIDOFF, HOPE CAFE Telephone: (860)874-9381 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0087822 <br /> Inspection Type: 005- INSPECTION/SERVICE (Chargeable) <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Nancy Davidoff Expiration Date: February 09,2026 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 132°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 127°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 comp sink--137.00°F hand sink--127.00°F <br /> NOTES <br /> Consulation re inspection. <br /> Hope Cafe <br /> PE 1633 <br /> 3 compartment sink and hand sink cart inside Kaiser facility. <br /> OK to issue permit once commissary agreement form is submitted, permit fee is paid ($179), re inspection fee is paid ($81 for <br /> 30 min inspection), and master file forms are completed. <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: FRANCISCO RUIZ Phone: (209)616-3032 <br /> SR0087822 SCO05 04/01/2024 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />