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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 grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: KAYLEE'S SWEET/BOTANITAS#4SX8143, 1717 S UNION ST, STOCKTON 95206 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> new trailer <br /> License plate#4SX8143 <br /> VIN...CA973521 <br /> OK to permit as a 1635 once the annual permit fee is paid ($237) <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/Byron Santos, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0026414 SR0083920 SC061 07/01/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />