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kkAj <br /> „„�ti ,h Environmental Health Department <br /> { <br /> T � {I' C 0 U N T Y Time In: 8.35 am <br /> j Time Out: 9:01 am- <br /> Greatness grows h€re. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: LA MENGAMBREA INC. Date: 04/26/2019 <br /> Address: 725 S CHEROKEE LN , LODI 95240 <br /> Requestor: HERMENEGILDO ESPINOZA, LA MENGAMBREA INC. Telephone: (415)991-9598 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0080532 <br /> Inspection Type: 061 -CONSULTATION <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 foodbome illness.All major violations must be corrected immediateN.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:The owner identification is on the side of the cart.Add owner information on the customer side of the cart <br /> before starting operation. <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.[§114299(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: n/a Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 971 F <br /> FOOD ITEM—LOCATION—TEMP°F—COMMENTS <br /> ice chest freezer—-5.00°F <br /> NOTES <br /> La Mengambrea Inc. Hermengildo Espinoza <br /> Newly built ice cream cart. <br /> Owner to complete PINK and GREEN forms. <br /> Ok to permit as PE 1634($107)once fees have been paid and the above forms have been completed. <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: hermengildo espinoza,owner <br /> EH Specialist: SCOTT SANGALANG Phone: (209)468-3452 <br /> SR0080532 SCO61 04/26/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />