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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: LA BONITA, 1204 BANNER AVE , STOCKTON <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Final inspection. <br /> La Bonita <br /> LIC#76373T2 <br /> VIN#...07974 <br /> New commissary letter and registration provided. <br /> Hot water 120F and above provided to the 3 comp sink. <br /> Ceiling screens are clean with no gaps. <br /> Fresh water tank and waste water tanks are passed by our lead senior. <br /> Hand sink soap and paper towels from dispensers mounted to the wall, are provided. <br /> Chlorine strips are provided. <br /> Proper owner ID posted on both sides of the truck. <br /> First aid kit and fire extinguisher are on site. <br /> Okay to issue the permit for 2023 once fee is paid and Insignia obtained. <br /> PE1635 $237 to be paid for the new permit. <br /> Pink and green forms to be filled. <br /> Extra hour$156 to be charged for the re inspection conducted today. <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 /> SR0083547 SC523 06/20/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />