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SAN ]OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: DON RAFAS TACO SHOP(4 VEHS), 2900 E HARDING WAY, STOCKTON 95205 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 104°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Two door True reach-in cooler--41.00°F One door True reach-in cooler--40.00°F <br /> Steam table--146.00°F Two door prep top reach-in cooler--39.00°F <br /> NOTES <br /> Consultation for ownership change. No major violations. No re-inspection. <br /> License#46148R2 <br /> Vin#.....10008 <br /> Ok to issue permit once permit fee is paid ($237)and updated 5021 and pink sheet is received. <br /> PE 1635 <br /> Official inspection report was hand delivered to the operator. <br /> Maintain a copy of official inspection report on-site. <br /> To minimize person-to-person contact,the signature of the person receiving the inspection report was not captured. <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: LYDIA BAKER Phone: (209)616-3046 <br /> FA0022340 SR0086045 SC061 11/15/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />