Laserfiche WebLink
r SANJOAQUI Environmental Health Department <br /> C U N T Time In: 8:33 am <br /> Greatness <br /> Out: 8:50 am <br /> G <br /> i�lFOSi4,k reatness grows here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: Date: 08/24/2023 <br /> Address: 8713 TIPTON CT , ELK GROVE 95624 <br /> Requestor: FERNANDO MEZA Telephone: (408)205-0514 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0086981 <br /> Inspection Type: 523-Plan Check/Report Review <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: Fernando Meza Expiration Date:July 03,2028 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 124°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 116°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Final inspection <br /> Churro Kingdom <br /> LIC#4VM1894 <br /> VIN#...014408 <br /> Insignia obtained. <br /> Registration provided. <br /> Tanks venting pipe is installed and terminating downward. <br /> Chlorine strips on site. <br /> Soap and paper towels dispensers, at the hand sink, are mounted to the wall. <br /> Proper owner ID posted on the service side of the trailer. <br /> All violations are corrected. <br /> COMMISSARY LETTER IS REQUIRED. <br /> Okay to issue the permit once fee is paid and commissary letter provided. <br /> PE 1635$237 to be paid for the new permit. <br /> Pink and green forms to be filled. <br /> As per operator, he will start operating after 11-01-2023 <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 /> SR0086981 SC523 08/24/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />