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S A N J O A QU I N Environmental Health Department <br /> COUNTY- <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: LOS TRES HERMANOS#3Z35893, 2900 E HARDING WAY, STOCKTON 95205 <br /> #41 Plumbing Maintained; Approved Back Flow Device <br /> OBSERVATIONS:The mobile food unit currently lacks a cover cap on the drain valve for the waste water. Correct within 7 <br /> days. <br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances,shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose.(114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Angelita Sixtos Expiration Date:January 10,2021 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F WaterlHot Water Ware Sink Temp: 121 IF <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 103°F <br /> FOOD ITEM--LOCATION--TEMPI F--COMMENTS <br /> 3 Dr prep cooler--40.00°F Steam table--153.00°F <br /> NOTES <br /> Routine inspection. <br /> LIC#3235893 <br /> VIN#...9265 <br /> Ok to issue permit for 2020 once fees have been paid. <br /> Official inspection report given to owner. <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: Name and Title: angelita sixtos,owner <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> FA0018747 PR0518140 SCO01 12/06/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility CIR <br /> 1868 E. Hazelton Avenue i Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />