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ritirvc. <br />SAN JOAQUIN <br />—COUNTY <br />.....reOtrI5'“ Orr,tv: hrre. <br />Environmental Health Department <br />Time In: 915 am <br /> <br />Time Out: 9:50 am <br />Mobile Food Facility Official Inspection Report <br />Name of Facility: LA GUADALUPANA#86668A2 Date: 01/10/2018 <br />Address: 731 S SACRAMENTO ST, LODI 95240 <br />Owner/Operator: VARELACERROS, SALVADOR Telephone: <br />Program Element: 1634 - FOOD VEHICLE/CART (PREPKGD ONLY) <br />Inspection Type: 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 foodbome illness. All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br />the food facility. <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: N/A Expiration Date: <br /> <br />Warewash Chlorine (Cu: PPm Heat ° F Water/Hot Water Ware Sink Temp: ° F <br />Quaternary Ammonia (QA): ppm <br />FOOD ITEM -- LOCATION -- TEMP ° F -- COMMENTS <br />Warmer-- 137.00° F <br />Hand Sink Temp: ° F <br />warmer -- 136.00° F <br />NOTES <br />Okay ti issue the Permit of 2018 once the fee is paid. <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 />-.50" ecrv- Ur/ r . <br />Received by: Name and Title: Salvador Varela, owner <br />EH Specialist: GEHANE FAHMY Phone: (209) 953-7698 <br />FA0023956 PR0541788 SC001 01/10/2018 <br />EHD 16-23 Rev. 06/30/15 Page 1 of 1 Mobile Food Facility OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com