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i �� I I I AI Environmental Health Department <br /> YSA N U N <br /> f�■z�w� COUNTY <br /> Greotr+ess 9row3 here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: 7750 W ELEVENTH ST, 7750 W ELEVENTH ST ,TRACY <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Daniel Morales Expiration Date:April 04,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 107°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door Traulsen--37.00°F steam table--170.00°F <br /> NOTES <br /> Tacos La Potranca <br /> License Plate#4RN9051 <br /> VIN...CA1173318 <br /> OK to permit as a 1635 once the annual permit fee is paid and a commissary letter is received <br /> No signature obtained/COVID-19 <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: Discussed w/Daniel Morales, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0083108 SC523 02/03/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />