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_dt Environmental Health Department <br /> SAN- OAQUIC U N T �Y <br /> Greotness grows here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: La Gilbertona, 1301 S Sacramento ST, LODI <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: 100 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Atosa 2-dr upright cooler--40°Fahrenheit True 2-dr prep cooler--48°Fahrenheit <br /> Steam table--143°Fahrenheit <br /> NOTES <br /> No major violations. <br /> OKAY to issue permit once permit fee is paid, commissary agreement is provided to EHD, and owner identification, city, state, <br /> and zip code is posted on the trailer. <br /> LIC:4NJ1697 <br /> VIN: *******475026 <br /> Program Element: 1635 <br /> Fee: $258 <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: CLAUDIA MURO Phone: (209)561-8923 <br /> AP2400614 SC2151 07/03/2024 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 Mobile Food Facility Service Request Inspection Report <br />