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S A N _J OAQ I I I N Environmental Health Department <br /> COUNTY IV <br /> `��,F❑ Greotness grows here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: LATHROP FOOD PLAZA, 16201 HARLAN RD , LATHROP 95330 <br /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:Provide name of operator and commissary city, state,zip code on service side of trailer in at least 1 in. <br /> high letters. Correct prior to operating. <br /> CALCODE DESCRIPTION: 1. The business name or the name of the operator,city state and ZIP code,and the name of the permittee if <br /> different from the business name is not clearly visible on the customer side of the mobile food facility.[§114299(a)] 2. Business or <br /> operator name is not at least 3 inches high and address is not one inch high.[§114299(b)] 3. Sign is not in contrasting color with the <br /> vehicle exterior.[§114299(b)] 4. For a motorized vehicle and a mobile support unit, the sign is not present on both sides of vehicle. <br /> [§114299(c)] <br /> #75 Noncompliance with Safety Requirements <br /> OBSERVATIONS:There is no sign/label for safety exit. Provide safety exit sign in at least 1 in. high letters prior to <br /> operating. <br /> CALCODE DESCRIPTION: 1. No first aid kit is available.First aid kit is not convenient. First aid kit is not in an enclosed case. 2.For <br /> mobile food facilities that operate in more than one location during the day, food equipment and utensils are not equipped or stored so as <br /> to prevent movement, spillage,or breakage in the event of a sudden stop, collision or overturn. 3.Light bulbs and tubes are not <br /> completely enclosed with a plastic safety shield or equivalent. 4. There is no easily accessible and properly charged fire extinguisher <br /> available. 5. There is no properly labeled,appropriately sized and located, second exit from an occupiable mobile food facility. 6. <br /> Insulation is lacking from gas fired appliances.[§114323] <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 156°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 101 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--101.00°F 3 comp sink--156.00°F <br /> NOTES <br /> New Trailer Consultation Inspection. <br /> LIC#4TR6403 <br /> VIN ...8029157 <br /> Facility has 4 gallon water heater, 30 gallon fresh water tank, and 50 gallon wastewater tank. <br /> No refrigeration,facility will serve donuts. <br /> Insignia, quat test strips,fire extinguisher, and first aid kit available. <br /> Commissary agreement provided. <br /> Discussed report with operator. <br /> No signature captured. <br /> Ok to issue permit once permit fee is paid. <br /> PE 1633,fee$179 <br /> FA0027493 SR0086384 SC061 02/13/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 3 Mobile Food Facility Service Request Inspection Report <br />