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SAN JOaQUIN Environmental Health Department <br /> COU N7 ' <br /> �� . <br /> `.'a�tfl'•" Greotness grows 1�1• _. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: LA PLAYA POPSHOP,347 E WEBER AVE,STOCKTON <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Gisselle Gonzalez Expiration Date:October 1%2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F WatedHot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION—TEMP°F--COMMENTS <br /> Mop sink—120.00°F 2 Dr Bev air prep cooler—41.00°F <br /> 2 Dr Pepsi sliding cooler—41.00°F <br /> NOTES <br /> Change of ownership consultation. <br /> Facility will sell ice cream, prepackaged and limited food preparation items. <br /> Restroom is shared with beauty salon next door. <br /> Program element: 1623 <br /> Ok to issue permit once fees have been paid and 5021 has been updated. <br /> Official inspection report emailed. <br /> The person in charge is responsible for ensuring that the above mentioned facility is incompliance 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: VICTOR ACEVEDO Phone: (209)616-3023 <br /> SRODS2796 SCO61 11/04/2020 <br /> EHD 16-23 Rev.091162020 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />