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T4P�u+n1.�� San Joaquin County <br /> ` Environmental Health Department <br /> 0: <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjoov.orci/ehd <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: TAQUERIA NATIVIDAD DE ATENGO JAL,1717 S UNION ST, STOCKTON <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp 116°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 117°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> Bev-air(prep)--34.00°F Reach-in--41.00°F <br /> NOTES <br /> Vin#..6090 <br /> Lic# 1 Ell 948 <br /> OK to permit once fees have been paid, return to EHD and pay for permit <br /> 1635 <br /> Facility previously operated in Stanislaus County. <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 /> y01wnck 5M(( n <br /> Received by: .J°` Name and Title: Yolanda, Owner <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> SR0073409 SC061 10/19/2015 <br /> EHD 16-23 Rev.06/30/15 - Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />