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° r I Environmental Health Department <br /> SAN-6-JOAQU <br /> CaLJT <br /> Greotness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: SANTA ANA AMATLAN#7F03039, 1211 S SEVENTH ST, MODESTO 95351 <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:2 front ceiling vent screens have dirt build up. Clean screens today. <br /> One ceiling vent screen, by the service window station, is torn. Fix/replace screen in 1 week. <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Yuritzi Chavez Expiration Date: November 06,2026 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 128°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 122°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Steam table-- 128.00°F 2 D cooler--33.00°F <br /> NOTES <br /> Change of ownership <br /> Santa Ana Amatlan <br /> LIC#7F03039 <br /> VIN#...3301543 <br /> Commissary letter and registration are provided. <br /> Fire extinguisher and first aid kit on site. <br /> Bleach on site. <br /> Okay to operate. <br /> Okay to issue 2022 permit once fee is paid. <br /> PE 1635$237 to be paid. <br /> 5021 form to be updated. <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: GEHANE FAHMY Phone: (209)616-3052 <br /> FA0025914 SR0084527 SC061 11/24/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />