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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 sigov org/ehd <br />Food Program Official Inspection Report <br />Time In: 8f15 am <br />Time Out: 8:35 am <br />Name of Facility: MARISCOS MAZATLAN #4Y71040 Date: 11/30/2015 <br />Address: 1301 S SACRAMENTO ST, LODI 95240 <br />Owner/Operator GONZALEZ, MOISES Telephone: <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: Moises Gonzalez Expiration Date: January 04, 2018 <br /> <br />Warewash Chlorine (Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 125 °F <br /> <br />Quaternary Ammonia (QA). ppm Hand Sink Temp: 124 ° F <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />2D cooler -- 35.00° F <br />NOTES <br />This is a Routine inspection for LIC #4Y71040 <br />No violations noted. <br />Note: Hood is not functional. Truck serves cold food only and no cooking. No hot cooking until hood is functional. <br />No wipe cloth observed. When in use, store wipe cloth in sanitizer bucket 100 ppm chlorine <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. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: by: Name and Title: octavio gonzalez, co-owner <br />EH Specialist: JEFFREY WONG Phone: (209) 468-0335 <br />FA0014528 PR0521405 SC001 11/30/2015 <br />EHD 16-23 Rev 06/30/15 Page 1 of 1 Food Program OIR