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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0505845
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COMPLIANCE INFO
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Last modified
5/28/2020 2:40:08 PM
Creation date
1/23/2019 9:15:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0505845
PE
1625
FACILITY_ID
FA0007042
FACILITY_NAME
FORUM DYNASTY RESTAURANT
STREET_NUMBER
1264
Direction
W
STREET_NAME
LATHROP
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20203009
CURRENT_STATUS
01
SITE_LOCATION
1264 W LATHROP RD
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
JCastaneda
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EHD - Public
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os•.. .. San Joaquin County <br /> y� Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �..• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> '9Gl P Oftt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: FORUM DYNASTY RESTAURANT, 1264 W LATHROP RD, MANTECA 95336 <br /> soup--189.00°F 2 comp--137.00°F <br /> restroom hot water--31.00°F liquid egg--prep--48.00°F <br /> 1 comp--147.00°F 4 door prep unit--41.00°F <br /> walk-in cooler--31.00°F pork--prep table--34.00°F <br /> beef--on top of prep table--48.00°F chow mein--149.00°F <br /> fried rice--169.00°F 1 door True--36.00°F <br /> fried chicken--cooling--155.00°F <br /> NOTES <br /> wiping cloth bucket 200 ppm Cl <br /> Dishwasher 0 ppm Cl/0 ppm Cl : sanitizer bucket was empty. Owner changes. Rechecked at 50 ppm Cl <br /> New employee working today shall obtain the Food Handler CArd within 30 days of hire. <br /> Facility lacks a mop sink.The mop bucket is filled up in the kitchen and waste water is dumped into the toilet. <br /> A re-inspection will occur in 2 weeks (on or after 3-30-16) <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: Carol Szeto, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0007042 PR0505845 SCO01 03/16/2016 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program OIR <br />
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