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SAN JOAQUIN <br /> Environmental Health Department <br />COUNTY <br />Time In: 900 am <br />Time Out 10:00 am <br />Food Program Official Inspection Report <br />Name of Facility: LA SABROSITA #3 (#5W86371) Date: 11/05/2018 <br />Address: 1301 S SACRAMENTO ST, LODI 95240 <br />Owner/Operator: RUIZ, SERGIO Telephone: (209) 406-3469 <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 <br />health and have the potential to cause foodbome illness. All major violations must be corrected immediately. Non-compliance may warrant immediate <br />closure of the food farilitv <br />#35 Equipment/Utensils Approved and in Good Repair <br />OBSERVATIONS: Service windows screens are torn from angles. Repair in 1 week. <br />CALCODE DESCRIPTION: All utensils and equipment shall be fully operative and in good repair. (114175). All utensils and equipment <br />shall be approved, installed properly, and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br />114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate Sergio Ruiz Expiration Date: December 12, 2022 <br /> <br />Warewash Chlorine (Cl): 100 ppm Heat: ° F Water/Hot Water Ware Sink Temp: 134 ° F <br />Quaternary Ammonia (QA): ppm Hand Sink Temp: 130 ° F <br />FOOD ITEM -- LOCATION --TEMP 0 F -- COMMENTS <br />2 D reach in cooler/ prep table -- 41.00° F Steam Table-- 162.00° F <br />NOTES <br />Lic # 5W86371 <br />Last inspection report and SB 180 are on site. <br />Sanitizer bucket is set up with chlorine 100 ppm. <br />Ok to permit for 2019 once 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 />419 <br />Received by: Name and Title: Guilermo Ruiz, Owner <br />EH Specialist: GEHANE FAHMY Phone: (209) 953-7698 <br />FA0018733 PR0526543 SC001 11/05/2018 <br />END 16-23 Rev. 06/30/15 Page 1 of 1 Food Program OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com