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Time In: 8:00 am <br /> Time Out: 8:40 am <br /> a�4�►N...� San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: LA CAPILLA #8G91488 Date: 11/12/2015 <br /> Address: 730 S CALIFORNIA ST,STOCKTON 952033707 <br /> Owner/Operator: MAGDALENO, REYNALDO & MARIA Telephone. L <br /> Program Element: 1635 - MOBILE FOOD PREPARATION UNIT(MFPU) <br /> Inspection Type: ROUTINE INSPECTION - Operating Permit <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 foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS: Faucets have slow water flow (repeat). <br /> Repair by 1week. <br /> CALCODE DESCRIPTION: The potable water supply shall be protected with a backflow or back siphonage protection device, as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances, shall be maintained so as to prevent any contamination, and shall be kept clean, fully operative, and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials, labeled,properly stored, and used for no other purpose. (114171, <br /> 114189m 1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: maria R Magdaleno Expiration Date: June 09.2018 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 124°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> steam table-- 189.00°F cold box —40 ' F <br /> NOTES <br /> OK to issue permit for 2016 <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: -V"� n."AA Name and Title: Reynaldo Magdaleno, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0018944 PR0527940 SCO01 11/12/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility OR <br />