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r: � I I I Environmental Health Department <br /> N <br /> Y U <br /> r�■■z�ti� COUNTY <br /> Greorness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: OMG FRUIT#4RC1517, 1717 S UNION ST , STOCKTON 95203 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 131 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 123°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door Saba prep--39.00°F 2 drawer chest freezer--11.00°F <br /> NOTES <br /> License plate#4RC1517 <br /> VIN...JS093007 <br /> OK to permit as a 1633 once the annual permit fee is paid <br /> No signature obtained. <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: discussed w/Petrona Pablo, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0025333 SR0084863 SC061 02/16/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />