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�QRSt lry,.,pP San Joaquin County <br /> a Environmental Health Department <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: WCCF CHURROS,404 W FREMONT , STOCKTON <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety certificate: Edgar Farias Barragan Expiration Date:June 25,2016 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm - Hand Sink Temp: 122°F <br /> FOODITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Consultation conducted for 2 carts <br /> Ok to issue permit once commissary letter is provided. Program 1633. Fee$145 for each cart(x2)= $290 <br /> Both carts have both hot/cold water <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: omar(arias, manager <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> SR0074539 SC061 03/31/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />