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SANrJOAQUIN Environmental Health Department <br /> �R ` —COUNTY— Time In: All-n, <br /> Time Out: 10'2n am <br /> �ti • Greotness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: LA DONA Date: 09/03/2020 <br /> Address: 1301 S SACRAMENTO ST, LODI 95240 <br /> Requestor: JUAN MARIN, LA DONA Telephone: (209)456-2749 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0082551 <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 foodborne illness.All major violations must be corrected immediately.Noncompliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Nora Zepeda Pulido Expiration Date:February 12,2023 <br /> Warewash Chlorine(Cl): 100 ppm Heat -F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F—COMMENTS <br /> 3 Dr Prep Cooler--41.00°F <br /> NOTES <br /> Change of owner inspection. <br /> LIC#41948P1 <br /> VIN#...6989 <br /> Observed no violations while on site. <br /> Program element: 1635 <br /> Ok to issue permit for 2020 once fees have been paid. <br /> Official inspection report given to operator. <br /> The person in charge is responsible for ensunng 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: <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-3420 <br /> SR0082551 SC061 09/03/2020 <br /> EHD 16-23 Rev.8/18/2020 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />