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ur I Environmental Health Department <br /> 41 t: SAN-6-JOAQU <br /> r'�JFOSx'tYY Greotness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: CITY OF MANTECA/MC CONCESSION TRAILERS, 555 INDUSTRIAL PARK DR, MANTECA <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 /> air--dunkers prep table--39.00°F <br /> NOTES <br /> Lic 3 4UV8434 <br /> Vin#4M9M1 ED26PS)93057 <br /> Ok to issue permit. Obtain permit prior to operating the business. <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: (209)616-3020 <br /> SR0086971 SC523 08/30/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />