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S A J 0 A Q U I Environmental Health Department <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: SELF MADE SEAFOOD#4NM5120, 2440 S AIRPORT WAY, STOCKTON 95203 <br /> OBSERVATIONS:Floor and walls at the cook line and at the left side of the 3 comp sink, have grease and build up. Clean the <br /> floor and walls today and as needed. <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All <br /> floor surfaces,other than the customer service areas,shall be approved,smooth,durable and made of nonabsorbent material that is <br /> easily cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in <br /> original unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143 <br /> (d), 114266, 114268, 114268.1, 114271, 114272) <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: 116 -F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 104 -F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 D reach in cooler/under prep table--410 Fahrenheit 1 D upright cooler--410 Fahrenheit <br /> NOTES <br /> Change of ownership of existing facility. <br /> Fuel Factory LLC <br /> LIC#4UB4112 <br /> VIN#......055218 <br /> Acai bowl, smoothie, Protein shake, protein bowl (cooked rice, cooked meat and steamed vegetables). <br /> Light and hood are working. <br /> Fire extinguisher and first aid kit on site. <br /> Bleach will be used as sanitizer. <br /> Pink slip and commissary letter provided. <br /> Okay to issue permit for 2024 once fee is paid. <br /> PE1635$258 to be paid for the new permit. <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: Tim Brown, Operator <br /> EH Specialist: GEHANE FAHMY Phone: (209)616-3052 <br /> FA0022950 SR2400421 SC521 08/22/2024 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />