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r: � I I I Environmental Health Department <br /> N <br /> Y U <br /> f�■■z�ti� COUNTY <br /> Greorness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: SELENA'S ANTOJITOS#4RV6223, 1717 S UNION ST, STOCKTON 95351 <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:All openable windows shall be screened with 16 mesh insect screen. Correct prior to operation. <br /> CALCODE DESCRIPTION: The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 107°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door Atosa prep--41.00°F <br /> NOTES <br /> License plate#4RV6223 <br /> VIN CA1178264 <br /> OK to permit as a 1635 once the annual permit fee ($237)is paid. <br /> No signature obtained/COVID-19 <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: Discussed w/David &Stepahnie, own <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0024962 SR0083809 SC061 06/03/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />