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° ur 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: , 8713 TIPTON CT, ELK GROVE <br /> #34 Warewashing Facilites Maintained <br /> OBSERVATIONS:Provide chlorine/QUAT strips before operating. <br /> CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and <br /> materials shall be provided to measure the applicable sanitization method. (I14067(f,g), 114099, 114099.3, 114099.5, 114101(a), <br /> 114101.1, 114101.2, 114103, 114107, 114125) <br /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:Provide a proper owner ID; business name at least 3 inch high, owner name and address(city, state <br /> and zip code)at least 1 inch high 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: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 D reach in cooler/under prep table--38.00°F <br /> NOTES <br /> Pre final inspection <br /> Churro Kingdom <br /> LIC#4VM1894 <br /> VIN#...014408 <br /> Insignia obtained. <br /> Registration provided. <br /> COMMISSARY LETTER IS REQUIRED. <br /> Tanks venting pipe is installed and terminating downward. <br /> Re inspection is required when all violations are corrected. <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 08/21/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />