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San Joaquin County <br />Environmental Health Department <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sidov.ord/ehd <br />Food Program Service Request Inspection Report <br />Facility Name and Address: PANADERIA LA TRIGUENA #4JJ2766, 620 E YOSEMITE AVE, MANTECA 95336 <br />OBSERVATIONS <br />Name on Food Safety Certificate: needed Expiration Date: <br /> <br />Warewash Chlorine (Cl): PPm <br /> Heat: ° F Water/Hot Water Ware Sink Temp: ° F <br />Quaternary Ammonia (QA): <br /> <br />PPm Hand Sink Temp: 64 ° F <br /> <br />FOOD ITEM — LOCATION --TEMP ° F — COMMENTS <br />No Temperature Data Collected <br />NOTES <br />Consultation. Owner reactivating the cart. <br />License: 4JJ2766, VIN: LN2UT08177J032974 <br />No food on cart during inspection. <br />OK to permit as 1633- $169 once all fees have been 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 />d <br />tiphki <br />Received by: Name and Title: Juan Ramirez, owner <br />EH Specialist: SCOTT SANGALANG Phone: (209) 468-3452 <br />FA0021765 SR0078969 SC061 04/11/2018 <br />EHD 16-23 Rev. 06/30/15 Page 2 of 2 Food Program Service Request Inspection Report