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Greotness grows here <br />SANAIJOAQUIN <br />ffl —COU N1 <br />`-tti wove <br />Environmental Health Department <br />Time In: 9-05 am <br />Time Out: 9:35 am <br />Mobile Food Facility Service Request Inspection Report <br />Name of Facility PENAS TAQUERIA Date: 10/23/2019 <br />Address: 620 S SACRAMENTO ST , LODI 95240 <br />Requestor: JOSE RAFAEL PENA, PENAS TAQUERIA Telephone: (209) 371-9305 <br />Program Element: 1603 - FOOD VEHICLE INSPECTION Request #: SR0081303 <br />Inspection Type 061 - CONSULTATION <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 foodbome 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: Jose Pena Expiration Date: January 28, 2023 <br /> <br />Warewash Chlorine (Cl) ppm Heat °F Water/Hot Water Ware Sink Temp: 1200 F <br />Quaternary Ammonia (QA)- PPm <br /> Hand Sink Temp: 1080 F <br /> <br />FOOD ITEM — LOCATION --TEMP ° F — COMMENTS <br />steam table — 150.00° F cooler— 25.00° F <br /> <br />NOTES <br />New owner for Food Vehicle <br />License: 6M25978; VIN: 1GBHP32KOL3302913 <br />Bleach and test strips available. <br />Owner to complete a change of owner information form (5021). <br />OK to permit as 1635 ($237) once the above has been completed and all fees have been paid. <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 />f4P <br />Received by: by: Name and Title: Rafael Pena, owner <br />EH Specialist: SCOTT SANGALANG Phone: (209) 468-3452 <br />5R0081303 SC061 10/23/2019 <br />Page 1 of 1 Mobile Food Facility Service Request Inspection Report END 16-23 Rev. 06/30/15