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San Joaquin County <br /> % Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> .�;;p• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: , 702 S ADELBERT AVE , STOCKTON <br /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS: Provide business or operator name at least 3 inches high and the address at least 1 inch high on both <br /> sides of the trailer. <br /> CALCODE DESCRIPTION: 1. The business name or the name of the operator, city state and ZIP code, and the name of the permittee if <br /> different from the business name is not clearly visible on the customer side of the mobile food facility.[§l 14299(a)] 2. Business or <br /> operator name is not at least 3 inches high and address is not one inch high.[§114299(b)] 3. Sign is not in contrasting color with the <br /> vehicle exterior.[§114299(b)] 4. For a motorized vehicle and a mobile support unit, the sign is not present on both sides of vehicle. <br /> [§114299(c)] <br /> "0V :COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 122°F <br /> FOO TCM --LOCATION --TEMP°F--COMMENTS <br /> Steam table-- 122.00°F 1 D reach in Saba cooler--38.00°F <br /> 1 D Saba cooler--40.00°F <br /> NOTES <br /> Final inspection. <br /> LIC#4RE1935 <br /> VI N#.....93004 <br /> Water heater is 6 GPM <br /> Fresh water tank is 37.5 Gal <br /> Waste water tank is 55 Gal. <br /> Insignia is provided. <br /> Chlorine test strips are available on site. <br /> Provide commissary letter before issuing the permit to operate. <br /> PE 1635 <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 Safet'. <br /> Code. If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Romulo Lara, Owner <br /> EH Specialist: GEHANE FAHMY Phone: (209) 953-7698 <br /> SR0080192 SC523 03/19/2019 <br /> Eli 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />