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Time In: 8 00 am <br /> Time Out: 8:20 am <br /> San Joaquin County <br /> Environmental Health Department <br /> W. <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.orylehd <br /> <<FORa <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: LA ROSITA #2J35926 Date: 11/16/2016 <br /> Address: 505 E ELM , LODI 95240 <br /> Owner/Operator: RAMIREZ, ROSA M Telephone: -3 3_ 1-4 3 <br /> Program Element: 1636 - LTD FOOD VEHICLE(PRODUCE/WHOLE FISH) <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 /> 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: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM --LOCATION --TEMP°F --COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> No Violations <br /> ok to issue permit for 2017 <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 /> �- <br /> Received by: Name and Title: Rosa M Ramirez, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0017981 PR0526564 SCO01 11/16/2016 <br /> EHD 16-23 Rev 06/30/15 Page 1 of 1 Mobile Food Facility OR <br />