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Time In: 8:20 am <br /> Time Out: 8:45 am <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> �1FOtR <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: LA PALOMA 42 #4X18616 Date: 01/27/2020 <br /> Address: 2900 E HARDING WAY, STOCKTON 95205 <br /> Requestor: YOLANDA BARRAGAN, LA PALOMA 42 #4X18616 Telephone: (209)405-4035 <br /> Program Element: 1603 - FOOD VEHICLE INSPECTION Request#: SR0081671 <br /> Inspection Type: 061 - CONSULTATION <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 /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization <br /> OBSERVATIONS: Provide stoppers/plugs for proper ware washing. <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized.(113984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101(b-d), 114105, 114109, 114111, 114113, 114115(a, b, d), 114117, 114125(b), 114135, 114141) <br /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:Owners name shall be provided on both sides of vehicle. Correct by 1 week. <br /> CAL CODE 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.[§114299(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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Yolanda Barragan Expiration Date:October 18,2020 <br /> Warewash Chlorine(Cl): 100 ppm Heat: OF Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 123°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> steam table-- 145.00° F refrigerator--40.00°F <br /> NOTES <br /> Ok to issue permit Program 1635 Fee $237 <br /> LIC4X18616 <br /> VIN 1 GTKP32K1 P3500908 <br /> FA0018718 SR0081671 SCO61 01/27/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Mobile Food Facility Service Request Inspection Report <br />