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Time In: 10-00 am <br /> Time Out: 10:30 am <br /> �P"O.WN' P San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �•.• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> '9C%FORM <br /> Food Program Service Request Inspection Report <br /> Name of Facility: TAQUERIA SAN ANTONIO Date: 02/01/2017 <br /> Address: 4011 E MORADA LN , STOCKTON <br /> Requestor: MARIA BRIDGES,AUTHORIZED AGENT, HEADWATERS CONSTRUCTIO Telephone: (916)564-8899 207 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0072948 <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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 105°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> steam table--136.00°F RR--103.00°F <br /> 2D Kelvinator--40.00°F 1 D Hoshizaki--38.00°F <br /> NOTES <br /> This is a final plan check. <br /> OK to issue permit after fee is paid. PE: 1624 (32 seats) <br /> Note: Food manager certification within 60 days for at least one employee, and food handler's card fro all other food handlers <br /> within 30 days of hire. <br /> OIR emailed to pgee2991@gmail.com <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: alicia cuerrero, owner <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> SR0072948 SC523 02/01/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />