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Environmental Health Department <br /> SAN-6-JOAQUIN <br /> �M COUNTY <br /> r'�JFOSx'tYY r Greotness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: MIS TRES POLLOS, 2878 DON RAFA AVE , RIVERBANK <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Required Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 110°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 D Atosa reach in/under prep table--40.00°F 2 D Atosa reach in/under prep table- By hand sink--40.00°F <br /> 1 D Atosa cooler--41.00°F 2 D Saba cooler--33.00°F <br /> NOTES <br /> Final inspection for new trailer. <br /> Insignia is provided. <br /> Registration and commissary letter provided. <br /> Service windows complying with codes. <br /> Light tubes are working and covered. <br /> Tanks are adequately vented for the flow. <br /> Mechanical exhaust ventilation provided over the cooking equipments. <br /> Entrance door is self closing. <br /> Owner identification is posted on the service side of the trailer. <br /> Chlorine test strips are provided. <br /> Hand sink is fully supplied with soap and paper towels. <br /> I provided the owner with the rest room verification letter to be signed and dated and brought back to EHD or emailed to <br /> gfahmy@sjgov.org in 1 week. <br /> Okay to operate. Obtain permit prior operating business. <br /> PE 1635$237 to be paid for the new permit. <br /> Pink and green forms to be filled. <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: GEHANE FAHMY Phone: (209)953-7698 <br /> SR0081631 SC523 06/19/2020 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />