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Environmental Health Department <br />Time In: <br /> 8:48 am <br /> 8:20 am <br />Time Out: <br />Program Element: 1634 - FOOD VEHICLE/CART (PREPKGD ONLY) <br />Telephone: Owner/Operator: ESPINOZA MENDOZA, HERMENEGILDO <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 725 S CHEROKEE LN, LODI 95240 <br />Date: 12/15/2022Name of Facility: LA MENGAMBREA INC <br />Mobile Food Facility Official Inspection Report <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 111 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />hand sink -- 111.00º F ice cream freezer -- 2.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. <br />Mobile food cart sells prepackaged ice cream and popsicles at the Open Air Mall. <br />No food items on site during the inspection. <br />Operator wished to update cart name. Provided 5021 form during the inspection. Update name on service side of cart after <br />5021 form is submitted, name of cart must be in at least 3 in. high letters. <br />Discussed report with operator. <br />No signature captured. <br />Report handed to operator. <br />Ok to issue 2023 permit once permit fee is paid. <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:Phone:(209) 616-3035 <br />, <br />DARIA AFONSKAIA <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Mobile Food Facility OIR <br />FA0025237 PR0544395 SC001 12/15/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD