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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 8.48 am <br /> Time Out: 9:07 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: MARISCOS MAZATLAN #4Y71040 Date: 12/01/2020 <br /> Address: 1301 S SACRAMENTO ST, LODI 95240 <br /> Owner/Operator: GONZALEZ, MOISES Telephone: (209)808-3904 <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: Moises Gonzalez Expiration Date: November 19,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 127°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 127°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> fish--39.00°F 3 door prep--38.00°F <br /> shrimp--39.00°F octopus--39.00°F <br /> NOTES <br /> chlorine sanitizer and test strips are available <br /> License plate#4Y71040 <br /> VIN...326521 <br /> shellfish tags maintained for 3 months <br /> no cooking-mariscos- <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/Octavio G owner's son, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0014528 PR0521405 SCO01 12/01/2020 <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 />