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Environmental Health Department <br />Facility Name and Address: LA POBLANA #68332U1, 2440 S AIRPORT WAY, STOCKTON 95206 <br />Mobile Food Facility Official Inspection Report <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 123 <br /> 101 <br />Required <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Steam table -- 140.00º F 2 D reach in cooler/ under prep table -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />La Poblana <br />LIC# 68332U1 <br />VIN# ... 4447 <br />First aid kit is on site. <br />Exhaust fans and light are working. <br />Chlorine test strips are on site. <br />Re inspection required in 4 weeks. Provide a proof of attending food manager training with evidence of other violations <br />correction within 4 weeks to avoid billable inspection. <br />Okay to issue the 2022 permit once fee is paid. <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: <br />EH Specialist:Phone:(209) 616-3052 <br />, <br />GEHANE FAHMY <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Mobile Food Facility OIR <br />FA0012589 PR0516382 SC001 10/26/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD