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SAN:JOAQUIN <br /> Environmental Health Department <br />-COUNTY-- <br />Mobile Food Facility Official Inspection Report <br />Facility Name and Address YARIZ #4RV6223, 201 PALMO WAY, MODESTO 95351 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: Yadira Zamora Expiration Date: January 05, 2024 <br /> <br />Warewash Chlorine (CI): 0 ppm Heat: S F Water/Hot Water Ware Sink Temp: 1200 F <br />Quaternary Ammonia (QA): <br />PPm <br /> Hand Sink Temp: 1000 F <br />FOOD ITEM -- LOCATION -- TEMP ° F -- COMMENTS <br />1 Dr Atosa prep cooler-- 38.00° F <br />NOTES <br />Routine inspection. <br />LIC# 4RV6223 <br />CA ID #CA1178264 <br />Ok to issue permit for 2020 once fees have been paid. <br />Official inspection report given to owner. <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 />#140d/lit <br />Received by: Name and Title: Yadira Zamora, Owner <br />EH Specialist: VICTOR ACEVEDO Phone: (209) 468-0337 <br />FA0024962 PR0543899 SC001 12/18/2019 <br />EHD 16-23 Rev. 06/30/15 Page 2 of 2 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