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COMPLIANCE INFO_2019
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PR0540650
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COMPLIANCE INFO_2019
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Last modified
4/23/2020 4:04:32 PM
Creation date
4/23/2020 4:03:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0540650
PE
1635
FACILITY_ID
FA0023247
FACILITY_NAME
TAQUERIA COSTA GRANDE #98535W1
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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—w-- <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: vvww.sjgov.orgiehd <br />Mobile Food Facility Service Request Inspection Report <br />Facility Name and Address: TAQUERIA COSTA VILLEGAS 108535W1, 1301 S SACRAMENTO ST, LODI 95206 <br />OBSERVATIONS <br />Name on Food Safety Certificate: needed Expiration Date: <br /> <br />Warewash Chlorine (Cu: ppm Heat: °F Water/Hot Water Ware Sink Temp 124 °F <br /> <br />Quaternary Ammonia (QA): PPm <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />reach-in -- 39.00° F <br />NOTES <br />Hand Sink Temp 1240 F <br />steam table water -- 181.00° F <br />License plate # 98535W1 <br />VIN... 37481 <br />OK to permit as a 1635 once the annual permit 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 />aA--AYIP Received by: Name and Title: Daniel Villegas, owner <br />EH Specialist: KADEANNE LIN HARES Phone: (209) 468-0330 <br />FA0023247 SR0078959 SC061 04/10/2018 <br />EHD 16-23 Rev. 06/30/15 <br /> Page 2 of 2 Mobile Food Facility Service Request Inspection Report
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