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Time In: 8,58 am <br /> Time Out: 9:40 am <br /> ,�4p,Au n"•�9 San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ., cp Telephone: (209)468-3420 Fax:(209)464-0138 Web:www,siciov.org/ehd <br /> Food Program Service Request Inspection Report <br /> Name of Facility: Mi Tierra Date: 08/21/2015 <br /> Address: 502 N C ST,GALT <br /> Requestor: SERGIO MALDONADO, MI TIERRA Telephone <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0072936 <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 speed timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodbome illness.Ali major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Sergio Maldonado Expiration Date:April 08,2019 <br /> Warewash Chlorine(Cl): 100 ppm Heat: OF WaterlHot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> Hot Hold-- 129.000 F 2D cooler--36.00°F <br /> NOTES <br /> This is a Food Vehicle Inspection. Lic#86992J1 <br /> Verified with Sacramento County that they permitted truck to use a market(Thornton Market) for commissary. Received copy <br /> of commissary letter. <br /> Provide the following: <br /> 1) Heat Hold at 129 F. Provide at least 135 F before operating vehicle. <br /> 2) Provide self-closing driver door. <br /> 3) Provide protective cap for potable water inlet. <br /> 4) Post SB180 <br /> OK to issue permit after paying fee. P/E 1635 <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: Sergio Maldonado, owner <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> SR0072936 SC061 08/21/2015 <br /> EHD 16-23 Rev.06/30115 Page 1 of 1 Food Program Service Request Inspection Report <br />