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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: TACO GUACAMOLE#4TN3922, 1211 S SEVENTH ST, MODESTO 95351 <br /> Routine inspection. <br /> Taco Guacamole <br /> LIC#4TW3004 <br /> Plate number changed. Registration provided and 5021 form to be updated. <br /> Hood and light are working. <br /> Okay to issue the permit for 2024 once fee is paid and all reported violations are corrected with evidence of correction <br /> submitted to EHD. <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 /> FA0026189 PR0546838 SCO01 12/26/2023 <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 />