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SA ■,J OA Q U I "N Environmental Health Department <br /> —COUNTY <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: LA POBLANA#683321-11, 2440 S AIRPORT WAY, STOCKTON 95206 <br /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS: Exterior of truck was recently painted and it lacks name on business on drivers side and on both sides it <br /> lacks owner's name, city, state, zipcode. Provide letters for business name of at least 3 inches in height and owner's name, <br /> city, state, zipcode of at least one inch in height Correct by 2 weeks. <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 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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat. °F Water/Hot Water Ware Sink Temp 121 OF <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 121 °F <br /> FOOD ITEM--LOCATION --TEMP° F --COMMENTS <br /> 2 door prep--41.00° F steam table-- 135.00° F <br /> NOTES <br /> Ok to issue permit for 2019 <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 /> 6,W yc--, <br /> Received by: Name and Title: Fatima Ramirez, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0012589 PR0516382 SCO01 03/13/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />