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San Joaquin County <br />Environmental Health Department <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www siciov.orq/ehd <br />Mobile Food Facility Official Inspection Report <br />Facility Name and Address: LA SABROSITA #1 (#6J34473), 1301 S SACRAMENTO ST, LODI 95240 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: Sergio Ruiz Expiration Date: December 26, 2017 <br /> <br />Warewash Chlorine (Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br />Quaternary Ammonia (QA): ppm Hand Sink Temp: 110° F <br /> <br />FOOD ITEM -- LOCATION --TEMP ° F --COMMENTS <br />20 cooler —31.00° F <br />2-comp -- 121.00° F <br />Beef-- steam table-- 138.00° F <br /> <br />NOTES <br /> <br />LIC 6J34473 <br />VIN ... 01843 <br />Sanitizer bucket 0 ppm chlorine <br /> <br />Note: Please be aware mobile food preparation unit is required to have mechanical refrigeration and separate water heater <br />with minimum of 4 gallon capacity that can be powered independently of the vehicle engine according to CALCODE. This <br />may be required for renewal of future permit. <br />Submit evidence of correction (in this case, Maria's valid Food Handler's Card) to jwong@sjcehd.com or to this office before <br />above deadline to avoid a billable reinspection. <br />OK to issue permit after fee is paid. PE 1635 <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. Ifs reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: Guillermo Ruiz, mgr <br /> <br />EH Specialist: JEFFREY WONG Phone: (209_) 468-0335 <br />FA0007264 PR0517145 SC001 12/06/2016 <br />Page 2 of 2 Mobile Food Facility OIR EFID 16-23 Rev. 06/30/15