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SA N.rJ 0 A Q U I N Environmental Health Department <br /> —COUNTY— <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: MI TAQUERIA A/X#4CF4779,2900 E HARDING WAY,ADDISON 95203 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Needed Expiration Date: <br /> Warewash Chlorine(CI): ppm Heat: °F Water/Hot Water Were Sink Temp: 126°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION—TEMP°F—COMMENTS <br /> mini deli refrigerator—41.00°F 1 Dr US refrigerator prep cooler—4.00°F <br /> Steam table—150.00°F <br /> NOTES <br /> Previous reports on site. <br /> OIR given to owner. <br /> OK to issue permit for 2019 once fees have been paid. <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: marco alcazar lopez,owner <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> FA0015650 PRO521459 SCO01 1189/2018 <br /> EHD 1623 Rev.06/30/15 Page 2 of 2 Mobile Food Facility OR <br /> 1868 E. Hazelton Avenue I Stockton,California 952051 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />