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SANIJOAQUIN <br />—COU NT Y- - <br />,105ceoc ureotness grows here <br />Environmental Health Department <br />Time In. 8.10 am <br />Time Out: 8:30 am <br /> <br />Mobile Food Facility Official Inspection Report <br />Name of Facility: ANGELES #1 (#4Z44524) Date: 12/31/2018 <br />Address: 1301 S SACRAMENTO ST, LODI 95240 <br />Owner/Operator: MARIN-PAEZ, JUAN LUIS Telephone: <br />Program Element: 1635 - MOBILE FOOD PREPARATION UNIT (MFPU) <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: Nora Zepeda Pulido Expiration Date: February 12, 2023 <br /> <br />Warewash Chlorine (Cl): 100 ppm Heat: 0 F Water/Hot Water Ware Sink Temp: 140 ° F <br />Quaternary Ammonia (QA): PPm <br /> Hand Sink Temp: 108° F <br />FOOD ITEM — LOCATION --TEMP ° F — COMMENTS <br />steam table water-- 165.00° F cooler — 36.00° F <br /> <br />NOTES <br />Routine inspection of food vehicle. <br />License: 4Z44524 <br />Bleach and test strips available. <br />VViping cloth bucket at 100ppm chlorine. <br />Ok to issue 2019 permit once all fees have been 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 />LO) <br />Received by: Name and Title: Juan Luis Mahn, owner <br />EH Specialist: SCOTT SANGALANG Phone: (209) 468-3452 <br />FA0023249 PR0540653 SC001 12/31/2018 <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