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SAN J OAQU I N Environmental Health Department <br /> Time In: a'nn=m <br /> N T Y— Time Out: 8,4-1,m <br /> lirutir i> grows ht- <br /> Mobile <br /> rMobile Food Facility Service Request Inspection Report <br /> Name of Facility: Date: 09/16/2020 <br /> Address: 2900 E HARDING WAY,STOCKTON 95205 <br /> Requestor: RAFAEL GONZALEZ, MARISCOS FRESCOS ESTILO MAZATLAN Telephone: (209)603-0936 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0082603 <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.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: Lourdes Gonzalez Expiration Date:November 30,2024 <br /> Warewash Chlorine(Cl): 100 ppm Heat: -F 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 /> 1 Dr Atosa prep cooler--41.00°F 1 Dr True cooler–40.00°F <br /> NOTES <br /> Change of owner consultation. <br /> LIC#4RM5969 <br /> VIN#...2801 <br /> Observed no violations at this time. <br /> Commissary agreement has been approved. <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 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: <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-3420 <br /> SR0082603 SC061 0911612020 <br /> EHD 16-23 Rev.81182020 Page 1 of 1 Mobile Food Facillty Service Request Inspection Report <br />