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OP44!!fy o San Joaquin County <br /> Environmental Health Department <br /> J. 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sjgov.or,//ehd <br /> <<POR <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: LA GUADALUPANA#,6X54130, 730 S CALIFORNIA ST , STOCKTON 95206 <br /> #47 Signs Posted; Last Inspection Report Available <br /> OBSERVATIONS: Provide on both sides of vehicle city and state. Letters shall be at least one inch in height. <br /> CALCODE DESCRIPTION:Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br /> hands after using the restroom(113953 5)(b) No smoking signs shall be posted in food preparation, food storage, warewashing, and <br /> utensil storage areas(113978).(c) Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br /> such as salad bars and buffets. (d)Any food facility constructed before January 1, 2004, without public toilet facilities, shall prominently <br /> post a sign within the food facility in a public area stating that toilet facilities are not provided(113725.1, 114381(e)). Proper posting of <br /> nutritional information at facilities with 20 or more chains in California(114094). <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 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 120°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> steam table-- 150.00°F refrigerator--37.00°F <br /> NOTES <br /> ok to issue permit once fee is paid. Program 1635 Fee $237 <br /> LIC 6X54130 <br /> VIN CDL3573330598 <br /> Work on pending issues <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: Jose Luciano Ordinola Hernandez, o <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0001571 SR0079072 SC061 05/04/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />