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° ur I Environmental Health Department <br /> SAN-6-JOAQU <br /> Greotness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: DOLORES IVONNE CHAVEZ-ARCE, 610 TAHOE ST, MANTECA <br /> #44 Premises: Clean/Litter Free; Vermin-Proof <br /> OBSERVATIONS:Trailer main door is not self closing. Provide self closing door before operating. <br /> CALCODE DESCRIPTION: The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof. (114067 6), 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> #75 Noncompliance with Safety Requirements <br /> OBSERVATIONS:Provide fire extinguisher and first aid kit before 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: Required Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 117°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 D reach in cooler/under prep table--38.00°F 1 D upright cooler--38.00°F <br /> NOTES <br /> Final inspection <br /> LOPEZ MEXICAN FOOD <br /> LIC#4VE2175 <br /> INSIGNIA OBTAINED. <br /> REGISTRATION AND COMMISSARY LETTER AVAILABLE. <br /> Re inspection is required in 2 weeks <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 /> SR0086571 SC523 06/19/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 3 of 3 Mobile Food Facility Service Request Inspection Report <br />