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r SANJOAQUI Environmental Health Department <br /> C U N T Time In: 9:11 am <br /> Greatness <br /> Out: 9:36 am <br /> G <br /> i�lFOSi4,k reatness grows here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: BOTANAS DONA LUCY Date: 02/09/2023 <br /> Address: 512 N SUNSET DR, LODI 95240 <br /> Requestor: JORGE VILLAGOMEZ, BOTANAS DONA LUCY Telephone: (209)663-8874 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0086371 <br /> Inspection Type: 061 -CONSULTATION <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: N/A Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Consultation inspection. <br /> Botanas Dona Lucy <br /> LIC#7EO6814 <br /> Selling prepackaged peanuts,Almonds, Walnuts, Pumpkin seeds and beans. <br /> Commissary letter is not required. <br /> Registration provided. <br /> Magnet sign with owner ID, posted on the service side of the truck. <br /> Okay to issue 2023 permit once fee is paid. <br /> PE1636$107 for the new heath permit. <br /> Pink and green forms to be filled. <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: GEHANE FAHMY Phone: (209)616-3052 <br /> SR0086371 SC061 02/09/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />