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Time In: 9:00 am <br /> Time Out: 9:25 am <br /> oPa�t . 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.sigov.org/ehd <br /> 4�7POR� <br /> Food Program Service Request Inspection Report <br /> Name of Facility: LA MESA#4PF3992 Date: 01/25/2019 <br /> Address: 730 S CALIFORNIA ST , STOCKTON 95207 <br /> Requestor: MARIA LAURA GARCIA, LA MESA#4PF3992 Telephone: <br /> Program Element: 1603 - FOOD VEHICLE INSPECTION Request#: SR0080101 <br /> Inspection Type: 061 -CONSULTATION <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Ma Laura Maciel Expiration Date:October 08,2021 <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 /> 1 door prep--40.00°F frigidare--41.00°F <br /> steam table--right-- 172.00° F steam table--left-- 167.00° F <br /> artic air--35.00°F <br /> NOTES <br /> OK to issue permit once fee is paid. Program 1635 Fee$237 Return to office before sales start <br /> LIC 4PF3992 <br /> VIN 1 U9EV2825GR07298 <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 /> �6K by� GlT <br /> Received by: Name and Title: Maria Laura Garcia, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0023693 SR0080101 SC061 01/25/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />