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Time In: 8:40 am <br /> Time Out: 8:59 am <br /> o�4�tN. San Joaquin County <br /> 1•'�'•.OG <br /> Environmental Health Department <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �/FORS <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: LA PALOMA *T03655 Date: 11/06/2015 <br /> Address: 2900 E HARDING WAY,STOCKTON 95205 <br /> Owner/Operator: SOTO, HORACIO Telephone (209) 570-6291 <br /> Program Element: 1635 - MOBILE FOOD PREPARATION UNIT(MFPU) <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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: Horacio Soto Expiration Date: oecember 07,2017 <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 /> 2 dr cooler--41.00°F <br /> NOTES <br /> -Previous report on site. No other employees at this time <br /> -Sanitizer bucket: 100 ppm chlorine <br /> No violations at this time. Ok to issue permit for 2016 <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 /> q.VN A,.*f 9 .S�JQ <br /> Received by: Name and Title: Horacio Soto, Owner <br /> EH Specialist: LEYNA HUYNH Phone: (209)468-3446 <br /> FA0021012 PRO162957 SCO01 11/06/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility OIR <br />