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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y Time In: 8:28 am <br /> tl1r_ —COUNTY— <br /> Time Out: 9:10 am <br /> c_ t Greotrless grows he: . . <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: MARIA'S PUPUSERIA Date: 03/27/2024 <br /> Address: 16201 S HARLAN RD , LATHROP 95330 <br /> Requestor: MC CONCESSION TRAILERS/MARIA MEDINA, MARIA'S PUPUSERIA Telephone: (209)594-0255 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0087804 <br /> Inspection Type: 523-Plan Check/Report Review <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Maria Gonzalez Expiration Date: March 26,2029 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 110°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--110.00°F 2 door Dukers prep--38.00°F <br /> 3 comp--120.00°F <br /> NOTES <br /> Food Plan Check final Inspection <br /> Trailer will park at Lathrop Food Plaza- 16201 Harlan Rd. <br /> License plate#4VF6257 <br /> VIN:4M9M1 EB11 PS093056 <br /> Food Handler Card for Elza Aquino-expires 3-15-2027 <br /> OK to permit as a 1635 once the annual permit fee is paid <br /> No signature obtained <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: discussed w/Maria Gonzalez, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0087804 SC523 03/27/2024 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />