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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> GrtoWSS grow$ here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: LA COCINA DE ANGIE, 15820 S HARLAN RD , LATHROP <br /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:Trailer lacks owner identification. Provide the name of the business in 3"(minimum)lettering&provide <br /> the owner's name,the commissary city, state and zip code in 1" (minimum)lettering on the customer side of the trailer.A <br /> sanitizer is not available. Correct prior to operation. <br /> Provide a photo of correction by 1 week to Kadeanne Linhares(klinhares@sjgov.org/209-616-3025). <br /> CALCODE DESCRIPTION: 1. The business name or the name of the operator, city state and ZIP code,and the name of the permittee if <br /> different from the business name is not clearly visible on the customer side of the mobile food facility.[§I14299(a)] 2. Business or <br /> operator name is not at least 3 inches high and address is not one inch high.[§I 14299(b)] 3. Sign is not in contrasting color with the <br /> vehicle exterior.[§114299(b)] 4. For a motorized vehicle and a mobile support unit, the sign is not present on both sides of vehicle. <br /> [§114299(c)] <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Gerardo Pareses Expiration Date: March 11,2027 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 111 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door Avantco prep--39.00°F 3-comp sink--125.00°F <br /> hand sink--111.00°F 1 door 7-Up True--40.00°F <br /> NOTES <br /> Food plan check final: Commissary Azteca 620 S Sacramento St. <br /> License plate#4TR3861 <br /> VIN3M9BE1622MM054151 <br /> Additional FSC for Janeth Revoreda-expires 3-11-27 <br /> OK to permit as a 1635 once the annual permit fee is paid ($237) <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/Gerardo Pareses, owne <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0084959 SC523 03/28/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />