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S A N-J O A Q U I N Environmental Health Department <br /> C Q U N T Y Time In: 836 am <br /> Time Out: 9:36 am <br /> e�c,aos�t` Greotness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: PENAS TAQUERIA Date: 12/29/2020 <br /> Address: 620 S SACRAMENTO ST, LODI 95240 <br /> Requestor: MARIA PENA, PENAS TAQUERIA Telephone: (209)570-3596 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0083053 <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 foodborne 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: Jose R Pena Expiration Date:January 28,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 155°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 154°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 door reach-in--41.00°F 3 comp--155.00°F <br /> hot hold--177.00°F hand sink--154.00°F <br /> NOTES <br /> PE1635 <br /> Facility was permitted by San Joaquin County <br /> License 54058P1 <br /> VIN CPL3593300287 <br /> Ok to issue 2021 permit once fee is paid. <br /> I observed HCD SPCM33904 <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: Maria Pena, owner, sig not captured <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> SR0083053 SC061 12/29/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />