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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: ASH AND OIL#4NZ1494, 1100 RICHARDS BLVD , SACRAMENTO 95811 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Samuel Buerer Expiration Date: February 18,2027 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 113°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door Enhanced--41.00°F steam table water--209.00°F <br /> NOTES <br /> Re-activation of food trailer Ash and Oil PR0542315/FA0024301 <br /> quat sanitizer and test strips are available <br /> License plate#4NZ1494/VIN CA 1163647 <br /> OK to permit as a 1635 once the annual permit fee has been paid ($237) <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/Sam Buerer, operator <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0024301 SR0086987 SC061 07/24/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />