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r I Environmental Health Department <br /> SANJOAQU <br /> CUBIT <br /> Grectrress grows here, Time In: 820 am <br /> Time Out: 8:54 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: LA CAPILLA#8G91488 Date: 01/03/2022 <br /> Address: 730 S CALIFORNIA ST, STOCKTON 952033707 <br /> Owner/Operator: MAGDALENO, MARIA Telephone: (209)470-2510 <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 /> #44 Premises: Clean/Litter Free;Vermin-Proof <br /> OBSERVATIONS:Observed gaps on both sides of left plexiglas panel at customer service area. Seal gaps to keep unit <br /> vermin-proof. Correct within 2 weeks. <br /> CALCODE DESCRIPTION:The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof. (114067 6), 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Maria R Magdalena Expiration Date: May 12,2023 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> steam table--171.00°F 2 dr reach-in w/prep top- 41.00°F <br /> NOTES <br /> Routine inspection. <br /> LIC#8G91488 <br /> The operator was able to get the engine fixed. <br /> Chlorine test strips available. <br /> Discussed report with operator. <br /> Okay to re-activate permit and permit for 2022 once fee is paid and completed commissary agreement form is provided. <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: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0018944 PR0527940 SCO01 01/03/2022 <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 />