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S A N J Q A QU I N Environmental Health Department <br /> e Q U N T Y Time In: 826 am <br /> Time Out: 9:16 am <br /> Greoltriess grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: MOBILE FOOD TRUCK Date: 11/01/2022 <br /> Address: 1301 S SACRAMENTO ST, LODI 95240 <br /> Requestor: JESUS GOMEZ Telephone: (209)244-6723 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0085126 <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: Jesus Gomez Expiration Date:October 23,2027 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 124°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 130°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 dr True--39.00°F steam table- 136.00°F <br /> 2 dr True reach-in w/prep top--40.00°F 3 comp sink 124.00°F <br /> hand sink--130.00°F <br /> NOTES <br /> Plan Check Final Inspection. <br /> Truck name is Fuego Taqueria <br /> LIC 37028J2 <br /> VIN...803283 <br /> Fresh water tank capacity approx 30 gallons and sinks wastewater tank capacity approx.45 gallons. <br /> Commissary form provided. <br /> Chlorine test strips available. <br /> Discussed report with Jesus Gomez. <br /> No signature captured. <br /> Report handed to owner. <br /> Ok to issue permit once permit fee is paid. <br /> PE 1635,fee$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: <br /> EH Specialist: DARIA AFONSKAIA Phone: (209)616-3035 <br /> SR0085126 SC523 11/01/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />