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SAN 10 A Q U l N Environmental Health Department <br /> COUNTY <br /> hti•,a, <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: TACO LOCO#5#36785133, 730 S CALIFORNIA ST , STOCKTON <br /> #41 Plumbing Maintained; Approved Back Flow Device <br /> OBSERVATIONS: Provide a screw on cap for waste water outlet by 1 week. <br /> CALCODE DESCRIPTION: The potable water supply shall be protected with a backflow or back siphonage protection device, as required <br /> by applicable plumbing codes.(114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances,shall be maintained so as to prevent any contamination, and shall be kept clean, fully operative, and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials, labeled,property stored, and used for no otherpurpose.(114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): 100 ppm Heat: -F Water/Hot Water Ware Sink Temp 129°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 129°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> steam table— 157.00°F 2 door cooler--41.00°F <br /> 2 door prep—41.00°F <br /> NOTES <br /> Ok to issue permit once fee is paid. <br /> Program 1635 Fee$237 <br /> Return to office Nov 1 st 2021 <br /> Insignia located above drivers side seat <br /> LIC 3678563 <br /> VIN 1GBHP32KIS3304118 <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: Victor Salazar, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 616-3051 <br /> SR0084332 SCO61 10/11/2021 <br /> EHO 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />