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SAN 10 A Q U ( N Environmental Health Department <br /> Time In: R sn am <br /> Time Out: 9:30 am <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: LA MORENA#20068V2 Date: 12/17/2019 <br /> Address: 2900 E HARDING WAY, STOCKTON 95205 <br /> Requestor: MARTHA URRUTIA MELGOZA, LA MORENA#20068V2 Telephone: (209)817-2650 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0081532 <br /> Inspection Type: 001 -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 /> #1 Demonstration of Knowledge <br /> OBSERVATIONS:Mobile food unit is currently lacking food safety Certificate.Obtain and provide a copy to Victor Acevedo <br /> (vmacevedo@sjgov.org)within 30 days. <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare, handle or serve non-prepackaged potentially hazardous food,shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Needed Expiration Date: <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 Dr Prep cooler--39.00°F Steam table--150.00°F <br /> NOTES <br /> Consultation inspection. <br /> LIC#20068V2 <br /> VIN#...3853 <br /> Mobile food unit program element: 1635 <br /> Ok to issue permit for 2020 once fees have been paid. <br /> Official inspection report emailed. <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 /> t",VI)Qiu <br /> Received by: �{ Name and Title: MARTHA URRUTIA,OWNER <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> FA0018906 SR0081532 SCO01 12117/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />