Laserfiche WebLink
SAN,JOAQUIN <br />—COUNTY— <br />Greotr+ess vows here. <br />Environmental Health Department <br />Mobile Food Facility Service Request Inspection Report <br />Facility Name and Address: LA CABANA #4FJ6334, 201 PRIMO WAY, MODESTO <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: <br /> <br />Expiration Date: <br /> <br />Warewash Chlorine (Co: ppm Heat: °F Water/Hot Water Ware Sink Temp 102 ° F <br /> <br />Quaternary Ammonia (QA): PPm <br /> Hand Sink Temp 100° F <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />air-- 2 door undercounter cooler --41.00° F <br />NOTES <br />The permit will be conditioned for the use of the inside of the trailer only. All foods must be prepared inside the trailer. The <br />smoker and the grill outside cannot be used with this permit. The smoker and the grill may be used at temporary events with <br />the temporary event permit. All foods must be cooked at the a permitted facility. <br />Ok to issue the permit when fees are paid. <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 <br />Safety Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: Raymond Guevara, owner <br /> <br />EH Specialist: VIDAL PEDRAZA Phone: (209) 468-0334 <br />SR0081118 SC061 09/05/2019 <br />Page 2 of 2 Mobile Food Facility Service Request Inspection Report EHD 16-23 Rev. 06/30/15