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S A :J O Q V I � <br /> Ipl�r Environmental Health Department <br /> COUNT <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: USTAADS#4VN9119, 61 RICKENBACKER CIR, LIVERMORE 94551 <br /> Routine inspection. <br /> USTAADS <br /> LIC#4VN9119 <br /> Operator is preparing/cooking the food in the commissary. <br /> Food is held on prep table in the trailer to be served within 4 hours time control. <br /> Bleach is used to sanitize surfaces and utensils. <br /> Hood and light are working. <br /> Fire extinguisher and first aid kit on site. <br /> Okay to issue 2024 permit once 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: GEHANE FAHMY Phone: (209)616-3052 <br /> FA0027713 PR0548496 SCO01 12/14/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 Mobile Food Facility OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />