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S A N J O a Q U I N Environmental Health Department <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: MIS TRES POLLOS#4SU7859, 1211 S SEVENTH ST, MODESTO 95351 <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Observed the waste water outlet currently lacking a cap at this time. Provide a cap to ensure no leakage <br /> occurs during transportation of the mobile food unit. Correct within 7 days. <br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances,shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Needed Expiration Date: <br /> Warewash Chlorine(Cl): 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 /> 1 Dr Atosa prep cooler 40.00°F 1 Dr Atosa prep cooler--41.00°F <br /> Steam table--140.00°F 1 Dr Atosa cooler--41.00°F <br /> NOTES <br /> Routine inspection. <br /> LIC#4SU7859 <br /> VIN#...3090 <br /> Previous report and food handler cards located on site. <br /> Observed no major violations at this time. <br /> Ok to issue permit for 2021 once fees have been paid. <br /> Official inspection report given to operator. <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: Rosa Cervantes De Gonzalez, Opera <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0025968 PR0545921 SCO01 01/25/2021 <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 />