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SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: , 2900 E HARDING WAY, STOCKTON <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 41.00°F <br /> NOTES <br /> Final inspection for mobile food unit. <br /> LIC#4TL9221 <br /> VIN#...1047 <br /> Commissary form approved and verified. <br /> The mobile food unit currently contains a 6 gallon water heater. <br /> Program element: 1635 <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: Jorge Cervantes, Operator <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> SR0083333 SC523 04/07/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />