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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLf•+@SS f YB,wS BTime In: 8.44 am <br /> Time Out: 9:03 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: GORDITAS MI MEXICO #4FV4670 Date: 11/24/2020 <br /> Address: 201 PRIMO WAY, MODESTO 95354 <br /> Owner/Operator: VELAZQUEZ, ROSALINA Telephone: (209)405-1183 <br /> Program Element: 1635-MOBILE FOOD PREPARATION UNIT(MFPU) <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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: Rosalina Velazquez Expiration Date:September 21,2023 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 121 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> steam table--161.00°F 2 door Atosa--27.00°F <br /> NOTES <br /> chlorine sanitizer and test strips are available <br /> License plate#4FV4670 <br /> VIN...057838 <br /> OK to permit for 2021 once the annual permit fee is paid <br /> No signature obtained/COVID-19 <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: Discussed w/Rosalina V, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0018400 PR0527171 SCO01 11/24/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />