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r: � I I I Environmental Health Department <br /> N <br /> Y U <br /> t�■■z�ti� COUNTY <br /> Greorness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: , 776 QUEENSLAND CIR, STOCKTON <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: 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: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> 16 gallons was added to the waster water tank. <br /> Make sure to set up sanitizing solutions for wiping cloths used more than once. <br /> This vehicle will be ok to permit when the above are corrected and verified by this department. <br /> 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: Name and Title: <br /> EH Specialist: VIDAL PEDRAZA Phone: <br /> SR0082490 SC523 10/13/2020 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Mobile Food Facility Service Request Inspection Report <br />