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- i•Ot."1-" <br />SANAOAQUIN , , <br />—COUNTY-- <br />,41SNO- v- r %,reotness grows here <br />Environmental Health Department <br />Time In: 8.45 am <br />Time Out: 9:28 am <br /> <br />Mobile Food Facility Service Request Inspection Report <br />Name of Facility: MARIZCOS FRESCOS ESTILO MAZATLAN #6G02752 Date 06/14/2019 <br />Address: 1301 S SACRAMENTO ST , LODI 95240 <br />Requestor: OCTAVIO GONZALEZ, MARIZCOS FRESCOS ESTILO MAZATLAN Telephone: (209) 808-3904 <br />Program Element: 1603 - FOOD VEHICLE INSPECTION Request # SR0080744 <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 foodbome 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: Octavio Gonzalez Expiration Date: September 08, 2019 <br /> <br />Warewash Chlorine (Cl): ppm Heat ° F Water/Hot Water Ware Sink Temp: 1200 F <br />Quaternary Ammonia (QA): PPm <br /> Hand Sink Temp: 108 ° F <br />FOOD ITEM — LOCATION --TEMP ° F — COMMENTS <br />No Temperature Data Collected <br />NOTES <br />Food vehicle consultation. <br />License: 6G02752; VIN: 1GBKP32YXV3315763 <br />Brand new vehicle (no food plan check because there is no cooking on vehicle). <br />Shrimp and octopus are bought pre-cooked. The shrimp cocktail soup/sauce is not made from shrimp/octopus broth. <br />Owner to complete PINK and GREEN forms. <br />Ok to permit as 1635 ($237) once above has been completed and all 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: Octavio Gonzalez, owner <br />EH Specialist: SCOTT SANGALANG Phone: (209) 468-3452 <br />SR0080744 5C061 06/14/2019 <br />Page 1 of 1 Mobile Food Facility Service Request Inspection Report EHD 16-23 Rev. 06/30/15