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Environmental Health Department <br /> SANIdOAQUIN <br /> -COUNTY — <br /> `- Grratness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: Antojitos la Tatis Date: 02/26/2025 <br /> Address: 620 S SACRAMENTO ST, LODI 95240 <br /> Requestor: Telephone: ()- <br /> Program Element: 1603- FOOD PLAN CHECK(1 HR MIN) Request#: SR2500876 <br /> Inspection Type: 521 - 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 <br /> #0 <br /> OBSERVATIONS:No violations. <br /> CALCODE DESCRIPTION: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate Tatiana A Mendoza Expiration Date:1/16/2030 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> steam table--174°Fahrenheit hand sink--100°Fahrenheit <br /> 3 comp sink 120°Fahrenheit 3 door reach in refrigerator--41°Fahrenheit <br /> NOTES <br /> Chang of owner inspection. <br /> PE 1635 <br /> LIC: 8Y14250 <br /> OK to issue permit once permit fee is paid and 5021 form is completed. <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: FRANCISCO RUIZ Phone: (209)616-3032 <br /> FA0020823 SR2500876 SC521 02/26/2025 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />