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SANGJOAQUIN Environmental Health Department <br /> ,�•` 'u COUNTY <br /> Time In: 930 am <br /> {U ' .`" Greatness grows here. <br /> Time Out: 9:46 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: TAQUERIA COSTA GRANDE#4D25755 Date: 10/20/2021 <br /> Address: 620 S SACRAMENTO ST, LODI 95240 <br /> Owner/Operator: VILLEGAS, DANIEL Telephone: <br /> Program Element: 1635-MOBILE FOOD PREPARATION UNIT(MFPU) <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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 /> #7 Hot and Cold Holding Temperatures <br /> OBSERVATIONS:Two door reach in under prep 47 <br /> Provide at 41 or lower <br /> CALCODE DESCRIPTION:Potentially hazardous foods shall be held at or below 41/45°F or at or above 135°F. (113996, 113998, <br /> 114037, 114343(a)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Dalia Mendoza Expiration Date:January 17,2024 <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 /> Three compartment sink--130.00°F Handsink--104.00°F <br /> Steamtable--171.00°F Two door reach in under prep--47.00°F <br /> NOTES <br /> PE 1635 <br /> 4D25755 <br /> VIN ...8215 <br /> Ok to issue 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: Daniel, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)616-3069 <br /> FA0015369 PR0522559 SCO01 10/20/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />