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�...Q .. C San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �..• _ P• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> 4�IFO'Rt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: LA HACIENDA TAQUERIA, 15158 HARLAN RD, LATHROP 95330 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Martin Padilla Expiration Date: November 17,2019 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Walk-in--41.00°F True(2-door)prep--41.00°F <br /> Steam table--175.00°F <br /> NOTES <br /> Sanitizer bucket-200ppm chlorine <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: *P Name and Title: Martin, Owner <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0017971 PRO526553 SCO01 03/24/2016 <br /> EHD 16-23 Rev.06/30/15 Page 4 of 4 Food Program OIR <br />