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Environmental Health Department <br />Facility Name and Address: GORDILICIOUS #4JS9769, 1681 DELTA CT, HAYWARD 94544 <br />Mobile Food Facility Official Inspection Report <br /> #64 Lack of Proper Owner Identification <br />OBSERVATIONS: Trailer lacks signage. Provide the owner's name and the commissary city, state and zip code in 1" <br />minimum lettering on the customer's side of the trailer. <br />Provide a photo of correction by 1 week. <br />E-mail or text photo to Kadeanne Linhares (klinhares@sjgov.org / 209-616-3025) <br />CALCODE DESCRIPTION: 1. The business name or the name of the operator, city state and ZIP code, and the name of the permittee if <br />different from the business name is not clearly visible on the customer side of the mobile food facility. [§114299(a)] 2. Business or <br />operator name is not at least 3 inches high and address is not one inch high. [§114299(b)] 3. Sign is not in contrasting color with the <br />vehicle exterior. [§114299(b)] 4. For a motorized vehicle and a mobile support unit, the sign is not present on both sides of vehicle. <br />[§114299(c)] <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 127 <br /> 107 <br />Hector Pinedo <br />OVERALL INSPECTION NOTES AND COMMENTS <br />1 door Pepsi -- 33.00º F 1 door True prep -- 39.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />License plate # 4JS9769 <br />VIN 3E9BV16207M030026 <br />OK to permit for 2022 once the annual permit fee is paid <br />No signature obtained <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:Phone:(209) 616-3025 <br />Discussed w/ Luis Ortega, <br />KADEANNE LINHARES <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Mobile Food Facility OIR <br />FA0020404 PR0535374 SC001 02/24/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD