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Time In: 7,3n am <br /> Time Out: &00 am <br /> aPANth, F San Joaquin County <br /> 1 �'A� <br /> s Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ..c4. , a �~• Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sogov.org/ehd <br /> crnC'r1� <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: LONCHERA LAURA#6E88427 Date: 09/16/2021 <br /> Address: 730 S CALIFORNIA ST, STOCKTON 95203 <br /> Requestor: LAURA MICHEL GUERRERO, LONCHERA LAURA Telephone: (209) 922-5354 <br /> Program Element: 1603- FOOD VEHICLE INSPECTION Request#: SR0084090 <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 /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:Remove form drivers side old owners information and provide new owners information. Correct by Nov <br /> 1 st 2021 <br /> CALCODE DESCRIPTION: 1. The business name or the name of the operator, city state and ZIP code, and the name of the permittee if <br /> different from the business name is not clearly visible on the customer side of the mobile food facility.[§114299(a)] 2. Business or <br /> operator name is not at least 3 inches high and address is not one inch high.[§114299(b)] 3. Sign is not in contrasting color with the <br /> vehicle exterior.[§114299(b)] 4. For a motorized vehicle and a mobile support unit, the sign is not present on both sides of vehicle. <br /> (§114299(c)] <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Laura G Michel Expiration Date: September 30,2022 <br /> Warewash Chlorine(CI): 100 ppm Heat: -F Water/Hot Water Ware Sink Temp: 120"F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM --LOCATION --TEMP 0 F -- COMMENTS <br /> cooler—39.00°F steam table--135.000 F <br /> NOTES <br /> Ok to issue permit once fee is paid <br /> Return to office by Nov 1st 2021 <br /> Program 1635 Fee$237 <br /> LIC 6E88427 <br /> VIN 1GDJP32M9B3501600 <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: Laura Michel, owner <br /> EH Specialist: MARI BEL FLOHRSCHUTZ Phone: <br /> FA0013439 SR0084090 SCO61 09/16/2021 <br /> EHn 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />