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Q�ttN San Joaquin County <br /> y;. Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> .. ip Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.slciov.org/ehd <br /> 4L <br /> /FORM <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: EL BOSS V&J, 2900 E HARDING WAY , STOCKTON <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 100°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> 2 dr True--41.00°F 2 dr prep cooler--41.00°F <br /> NOTES <br /> This is a final consultation <br /> -License#4AW5973 <br /> -Insignia on site <br /> -80 gallon fresh water, 87 gallon waste water <br /> Cannot issue permit for 2017 until registration and commissary letter is received <br /> $237. 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 <br /> Safety Code. If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: � 44�� Name and Title: Hugo Gonzalez, Owner <br /> EH Specialist: LEYNA HUYNH Phone: (209)468-3446 <br /> SR0077391 SC523 10/12/2017 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Mobile Food Facility Service Request Inspection Report <br />