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°FOCAL PLAN REVIEW REF4PRT DATE 09/25/2017 EHS JATINDER CHHABRA PLAN CHECK NUMBER SR0113813 PROGRAM ELEMENT 1750 - FOOD VEHICLE OWNER / REQUESTER POLO'S MOBILE CATERING TRUCK MEG INC, LENA HERNANDEZ DBA TACOS LAS PERLAS ADDRESS 517 MOCKINGBIRD DR, LODI, CA 94240 LICENSE PLATE VIN ADDITIONAL REQUIREMENTS PLAN SR0113813 WAS APPROVED CONTINGENT UPON THE FOLLOWING CONDITIONS: 1.CONSTRUCTION, CONSTRUCTION MATERIAL AND EQUIPMENT INSTALLATION SHALL MEET APPROVED SANITATION STANDARDS. ANY CHANGES OR ADDITIONS SHALL BE APPROVED BY THIS DEPARTMENT PRIOR TO MODIFICATION. 2.THIS APPROVAL DOES NOT AUTHORIZE THE VIOLATION OF ANY LAW, ORDINANCE OR REGULATION. IT IS SUBJECT TO REVERSAL PENDING ANY CHANGES IN LAW, ORDINANCE OR REGULATION OF WHICH MODIFICATION OR CORRECTIONS TO THE PLAN AND CONSTRUCTION WILL BE REQUIRED. 3.PROVIDE CURRENT/UPDATED HCD INSIGNIA WITH REPORT. 4.PROVIDE THE FOLLOWING DOCUMENTS AT THE TIME OF INSPECTION ** COPY OF REGISTRATION(IF HAS ONE) **COPY OF DRIVER'S LICENSE/ID **IF A CORPORATION OR LLC, NEED COPY OF THE STATEMENT OF INFORMATION, COPY OF ARTICLE INC./ORGANIZATION (FOR LLC), AND A COPY OF THE EIN PAPER/TAX ID. 5.PROVIDE A COMMISSARY CONTRACT WITH PARKING SPACE ON IT. 6.FINAL APPROVAL PENDING A FINAL INSPECTION. 7.PROVIDE THE BUSINESS NAME (IN LETTERS AT LEAST 3 INCHES HIGH) AND NAME OF THE PERMITTEE, IF DIFFERENT FROM THE NAME OF THE FOOD FACILITY, CITY, STATE, ZIP CODE (IN ONE-INCH-HIGH LETTERS AND NUMBERS). IT SHALL BE LEGIBLE, CLEARLY VISIBLE TO CONSUMERS, AND PERMANENTLY AFFIXED ON THE CONSUMER SIDE OF THE MOBILE FOOD FACILITY AND ON A MOBILE SUPPORT UNIT. THE COLOR OF EACH LETTER AND NUMBER SHALL CONTRAST WITH ITS BACKGROUND., MOTORIZED MOBILE FOOD FACILITIES AND MOBILE SUPPORT UNITS SHALL HAVE THE REQUIRED IDENTIFICATION ON TWO SIDES. PLEASE NOTE THESE ADDITIONAL IMPORTANT REQUIREMENTS ALL MOBILE FOOD FACILITIES SHALL OPERATE OUT OF A COMMISSARY OR OTHER APPROVED FACILITY. ***COMPLETE DBA IS REQUIRED ON 2 SIDES OF THE VEHICLE WITH THE BUSINESS NAME AND THE COMMISSARY ADDRESS. ***ALL REFRIGERATION UNITS SHALL BE ANSI/NSF APPROVED BEGINNING ON JANUARY 6, 2006. ***INSPECTION REPORTS ARE VALID FOR 30 DAYS. ***VALID AND CURRENT CORPORATE/LLC DOCUMENTS MUST BE PROVIDED AT THE TIME OF FINAL INSPECTI IF APPLICABLE. ***ALL MOBILE FOOD FACILITIES PERMITTED ON OR AFTER JULY 1, 2007 SHALL MEET THE REQUIREMENTS 0 THE CALIFORNIA FOOD CODE (CAL CODE). Help us serve you better by completing a short survey. Visit our website at www publichealth.lacounty.govieh. EHS Signature Page 3 of 5