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Environmental Health Department <br /> SAN-6-JOAQUIN <br /> �M COUNTY <br /> r'�JFOSx'tYY r Greotness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: , <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Required Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Consultation inspection. <br /> Trailer was operating in County of Sacramento and Napa County. <br /> Business Name to be decided. <br /> LIC#4 NY9880 <br /> VIN#....F8JT484 <br /> Registration provided. <br /> COMMISSARY LETTER IS REQUIRED BEFORE OPERATING. <br /> Light and hood are working. <br /> Chlorine strips on site. <br /> RE INSPECTION IS REQUIRED. <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: GEHANE FAHMY Phone: (209)616-3052 <br /> SR0086615 SC061 04/17/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />