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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: JILL'S FRUIT ON TOP, 1944 REMEMBRANCE LN , TRAY <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: NEEDED Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 132°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 127°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1-door cooler--41.00°F <br /> NOTES <br /> Food Consultation: No major violations identified.Time was given for correction of minor violations. Re-inspection is not <br /> required. Inspection report was provided to operator. <br /> OKAY to issue permit once permit fees are paid. <br /> LIC:4UH6903 <br /> SPCM: 36824 <br /> VIN: ****36221 <br /> Maintain a copy of this 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: CLAUDIA MURO Phone: (209)561-8923 <br /> SR0085641 SC061 08/12/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />