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11�11h71 i ,e,d O A Q U I iI14,i1, Environmental Health Department <br /> — U `,JT",' <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: TAQUERIA LA FAMILIA ANTOJITOS MEXICANOS#4NR8746, 620 S SACRAMENTO ST, LODI <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Reyna Hernandez De La Cruz Expiration Date:June 21,2026 <br /> Warewash Chlorine(Cl): 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 /> 1 door True--41.00°F <br /> NOTES <br /> Routine inspection of permitted food trailer conducted <br /> License plate#4NR8746 <br /> chlorine sanitizer and test strips are available <br /> OK to permit for 2023 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/Reyna Hernandez, de la <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0023652 PR0541286 SCO01 11/21/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 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 />