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SAN J 0 A Q U I N Environmental Health Department <br /> CC)U NTY <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: MELYS CHURROS, 500 SEVENTH ST, MODESTO 95354 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Panfilo Gonzalez Expiration Date:October 15,2022 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Routine inspection. <br /> LIC#4MN6914 <br /> VIN#Not available at this time. <br /> Mobile food unit is used to sell at the Stockton Flea Market located on 2542 S EI Dorado St. in Stockton, CA. <br /> Ok to issue permit for 2021 once fees have been paid and the registration of the cart has been verified. Consult with the <br /> inspector beforehand. <br /> Official inspection report emailed. <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: <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0019589 PR0539532 SC901 01/09/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 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 />