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San Joaquin County <br /> aEnvironmental Health Department <br /> ` 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> 4�/PORN; <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: LA POBLANA#68332U1, 2440 S AIRPORT WAY, STOCKTON 95206 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 122°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> 2 door reach in-- 18.00°F--cold plate-not mechanical Steam table water-- 133.00° F <br /> NOTES <br /> License plate#68332U1 <br /> VIN ...4447 <br /> Inspection conducted at the commissary-no food prep or ware washing at time of inspection <br /> Bleach available-test strips needed <br /> Mechanical refrigeration required by 12-31-17 <br /> OK to permit for 2017 once the annual permit fee is paid. <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: Fatima Ramirez, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0012589 PR0516382 SCO01 12/20/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility OIR <br />