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S A N J Q Q Q U IN Environmental Health Department <br /> - e Q U N T Y 9 <br /> Time In: : am <br /> Time Out: 9:1111 am <br /> Greotriess grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: TACOS MAZAMITLA JAL Date: 04/25/2022 <br /> Address: 1211 S SEVENTH ST, MODESTO 95351 <br /> Requestor: RAFAEL ZEPEDA, TACOS MAZAMITLA JAL Telephone: (209)430-2312 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0085189 <br /> Inspection Type: 523-Plan Check/Report Review <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Rafael Z Pulido Expiration Date:June 18,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 158°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 111 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 comp--158.00°F hand sink--111.00°F <br /> 2 door reach-in--under prep--40.00°F steam table--167.00°F <br /> NOTES <br /> Pe 1635 <br /> Lice#6G04867 <br /> VlN1 GBHP32KXN3307796 <br /> Ok to issue 2022 permit once fee is paid and out of county commissary agreement is received <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: Rafael, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)616-3069 <br /> SR0085189 SC523 04/25/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />