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Mobile Food Facility Service Request Inspection Report <br />Facility Name and Address: , <br />Environmental Health Department <br />OBSERVATIONS: Safety exit sign is lacking. Provide safety exit sign prior to operation. <br />CALCODE DESCRIPTION: 1. No first aid kit is available. First aid kit is not convenient. First aid kit is not in an enclosed case. 2. For <br />mobile food facilities that operate in more than one location during the day, food equipment and utensils are not equipped or stored so <br />as to prevent movement, spillage, or breakage in the event of a sudden stop, collision or overturn. 3. Light bulbs and tubes are not <br />completely enclosed with a plastic safety shield or equivalent. 4. There is no easily accessible and properly charged fire extinguisher <br />available. 5. There is no properly labeled, appropriately sized and located, second exit from an occupiable mobile food facility. 6. <br />Insulation is lacking from gas fired appliances. [§114323] <br />#71 Improper Mobile Water & Wastewater Tanks <br />OBSERVATIONS: Water ventilation is lacking mesh covering . Provide 16 mesh/ inch screen on vent that terminates in a <br />downward direction. Correct today. <br />CALCODE DESCRIPTION: 1. For nonpermanent food facilities that handle nonprepackaged foods, there is no potable water and/or no <br />wastewater tank and there are no temporary water and wastewater connections. (§114205) 2. Materials used for the tanks are not safe, <br />durable, corrosion-resistant, nonabsorbent and finished to have a smooth, easily cleanable surface. (§114207) 3. Tanks are not sloped <br />to an outlet that allows complete drainage of the tank. (§114209) 4. The system is not designed and constructed to preclude <br />contamination of the contents or of any food, food-contact surface or equipment. (§114211) 5. Tanks are with tanks are not safe, <br />durable, corrosion-resistant, nonabsorbent, resistant to not equipped with adequate air vent overflow. (§114213) 6. Hoses used pitting, <br />chipping, crazing, scratching, scoring, distortion and decomposition, finished with a smooth interior surface and protected from <br />contamination at all times. [§114215(a)] 7. Hoses are not clearly identified as to use and are not of different colors for different uses. <br />[§114215(a)(6), 114215(b)] 8. Connecting devices do not match. [§114215(c)] 9. Tanks are not of sufficient capacity. (§114217) 10. <br />Potable water tank is not enclosed. (§114219) 11. Tank lacks an access port for inspection and cleaning or an approved written <br />procedure for cleaning and sanitizing. (§114221) 12. Outlets are not equipped with proper inlet and outlet connections <br />(§114223,114225) 13. Air compressor lacks adequate filter. (§114227) 14. When not in use, inlet and outlet fittings do not have <br />protective covers.(§114229) 15. Water tank inlet is more than ¾”. (§114231) 16. Water tank, pump and hoses are not flushed after <br />construction, repair, modification or periods of nonuse. (§114233) 17. Back flow during use is not prevented. (§114235) 18. Hoses <br />identified for potable water are also used for other purposes. (§114238) 19. Wastewater tanks are not equipped with a shut-off valve. <br />[§114240(e)] 20. Tanks are not adequately serviced including removal, draining, and/or flushing. (§114242) <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Chlorine (Cl): <br />Name on Food Safety Certificate Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br />Required <br />100 <br />120 <br />3 comp sink -- 121º Fahrenheit hand sink -- 100º Fahrenheit <br />1 door upright refrigerator -- 41º Fahrenheit 1 door reach in refrigerator -- 40º Fahrenheit <br />steam table -- 165º Fahrenheit <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Plan check final. <br />PE 1635 <br />LIC: 4WU6284 <br />Page 2 of 3EHD 16-23 Rev. 09/16/2020 Mobile Food Facility Service Request Inspection Report <br /> AP2502333 SC001 08/25/2025