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SAN ]OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: LOS CHARROS VIRRIERIA, 215 N CHEROKEE LN , LODI 95240 <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand Sink--Restroom-Male--100.00°F Hot Holding Kitchen--135.00°F <br /> Walk-In--Kitchen--41.00°F 1-Door True Kitchen--41.00°F <br /> Prep Sink -Kitchen--100.00°F Hand Sink--Restroom-Female--100.00°F <br /> Hand Sink Kitchen--100.00°F 3-Compartment Sink--Kitchen--120.00°F <br /> NOTES <br /> Change of ownership inspection conducted this date. Inspection report was discussed with Jose Minguia. Signature was not <br /> captured. <br /> Post the provided sign advising patrons that a copy of the most recent inspection report is available for review. <br /> Okay to issue permit for program element 1625. E-mail the followings to sshih@sjgov.org: <br /> • A copy of updated facility information (Form 5021).The required field in this form is highlighted. This form is provided on <br /> site. <br /> • A copy of owner's driver license. <br /> • Payment confirmation of$$376. The payment can be made online at: <br /> https://www.sjgov.org/department/envhealth/online-payment. <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: Jose Minguia, Contractor <br /> EH Specialist: STEVEN SHIH Phone: (209)468-9850 <br /> FA0000701 SR0082021 SC061 05/13/2020 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />