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ou <br />SAN"JOAQUIN <br />LI.Apubnit-, COUNTY-- <br />Environmental Health Department <br />1,411111 1117., Great mr ,-Ivv$ here. Time In: 830 am <br />Time Out: 8:56 am <br />Mobile Food Facility Official Inspection Report <br />Name of Facility. TAQUERIA COSTA GRANDE #98535W1 Date: 12/31/2019 <br />Address: 1301 S SACRAMENTO ST, LODI 95240 <br />Owner/Operator: MENDOZA, DALIA VILLEGAS 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 />#64 Lack of Proper Owner Identification <br />OBSERVATIONS: Provide the City, State and zip code (Commissary) on both sides of the vehicle in 1" tall lettering <br />(minimum height). 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. Fora 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: Dalia Mendoza <br /> <br />Expiration Date: January 17, 2024 <br /> <br />Warewash <br /> Chlorine (Cu: 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br />Quaternary Ammonia (QA): PPm <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />rice-- 170.00° F <br />cabeza -- 181.00° F <br />Hand Sink Temp: 107 ° F <br />reach-in -- 36.00° F <br />steam table -- 194.00° F <br />NOTES <br />Changing commissary from 1301 Sacramento St. to 620 Sacramento St. in Lodi <br />chlorine sanitizer and test strips are available <br />License plate #98535W1 <br />OK to permit for 2020 once the annual permit fee is paid <br />FA0023247 PR0540650 SC001 12/31/2019 <br />EHD 16-23 Rev. 06/30/15 Page 1 of 2 Mobile Food Facility OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 I 1 209 468-3420 I F 209 464-0138 I www.sjcehd.com