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SANAOAQUIN <br />—COUNTY <br />Grenrnesi vows here. <br />Environmeri.al Health Department <br />Time In. 3:40 pm <br />Time Out: 3:56 pm <br /> <br />Mobile Food Facility Service Request Inspection Report <br />Name of Facility: LA POBLANA RESTAURANTE Date: 01/17/2020 <br />Address: 600 S CENTRAL AVE, LODI 95240 <br />Requestor: FERNANDO JIMENEZ, LA POBLANA RESTAURANTE Telephone: (209) 294-9829 <br />Program Element: 1603- FOOD VEHICLE INSPECTION Request #: SR0081643 <br />Inspection Type: 061 - CONSULTATION <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 />OVERALL INSPECTION NOTES AND COMMENTS <br />FOOD ITEM -- LOCATION -- TEMP ° F --COMMENTS <br />No Temperature Data Collected <br />NOTES <br />vehicle consultation <br />Lic # 39665W1 <br />Vin #3N6CMOKN1FK720965 <br />Only non potentially hazardous foods can be sold from this vehicle. <br />Ok to issue permit. Obtain permit prior to operating the business. <br />PE 1636 <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 />Received by: Name and Title: Fernando Jimenez Sanchez, Owner <br />EH Specialist: VIDAL PEDRAZA Phone: (209) 468-0334 <br />SR0081643 SC061 01/17/2020 <br />Page 1 of 1 Mobile Food Facility Service Request Inspection Report EHD 16-23 Rev. 06/30/15