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S A N J Q Q Q U IN Environmental Health Department <br /> C O U N T Y Time In: 130 pm <br /> Time Out: 2:30 am <br /> Greorness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: LA PALOMA#2 Date: 12/29/2020 <br /> Address: 2900 E HARDING WAY , STOCKTON 95205 <br /> Requestor: AMPARO CASARRUBIAS, LA PALOMA#2 Telephone: (209)649-7263 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0083073 <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: Amparo Casarrubias Expiration Date: December 23,2025 <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--40.00°F Steam table--172.00°F <br /> NOTES <br /> Change of ownership inspection. <br /> LIC#4X18616 <br /> VIN#...0908 <br /> Mobile food unit currently resides at 2850 N. California St. Stockton, CA. <br /> Observed no violations at this time. <br /> Program element: 1635 <br /> Ok to issue permit for 2021 once fees have been paid and commissary agreement has been submitted. Consult with inspector <br /> beforehand. <br /> Official inspection report emailed. <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: Amparo Casarrubias, Operator <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0018718 SR0083073 SC061 12/29/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />