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i �� I I I AI Environmental Health Department <br /> YSA N U N <br /> t�■z�w� COUNTY <br /> Greotr+ess 9row3 here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: TORTILLERIA(DONA MARI), 1062 WATERLOO RD , STOCKTON <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Food plan check final inspection <br /> License plate#4VF7054/VIN 1 R9BF2426PF600233 <br /> chlorine sanitizer available/test strips needed <br /> no refrigeration on trailer:the masa mixed with water,then tortillas are made and baked.Any leftover masa mixture is <br /> discarded (no carryover to the next day). <br /> OK to permit as a 1635 once the annual permit fee is paid ($237) <br /> No signature obtained <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: discussed w/Maribel &Francisco, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0086476 SC523 04/05/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 3 of 3 Mobile Food Facility Service Request Inspection Report <br />