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K� SA RJ OAQ U I N Environmental Health Department <br /> -COUNTY— <br /> Mobile <br /> COUNTY— <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: PLAYA AZUL PALETERIA, 1108 WATERLOO RD,STOCKTON 95205 <br /> The cart contains all four walls of enclosure,with the back of the facility acting as the fourth wall. <br /> The cart contains a water heater of 4 gallons,with water disposal occurring inside of the facility into a floor sink or the <br /> 3-comartment sink. <br /> The cart was permitted in another county prior to use,operator is not sure on the county or when the last health permit was <br /> obtained. <br /> Program element: 1633 <br /> Ok to issue permit for 2021 once fees have been paid and paperwork has been completed. <br /> Official inspection report emailed. <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.ff 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 /> FA0001185 SR00S2962 SCO61 12!0412020 <br /> E'MD 16-23 Rev.0971&!2020 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />