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S A I D J O M Q V I N Environmental Health Department <br /> COU N7Y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: FORUM DYNASTY RESTAURANT, 1264 W LATHROP RD, MANTECA 95336 <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> pork--prep unit--38.00°F hand sink--rr--108.00°F <br /> chicken--prep unit--43.00°F 2 comp prep--143.00°F <br /> 1 dr True 38.00°F walk in--41.00°F <br /> 4 dr prep 41.00°F beef--prep unit--41.00°F <br /> hot and sour soup--208.00°F pork buns--st--160.00°F <br /> NOTES <br /> Bleach and test strips available. <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: SCOTT SANGALANG Phone: (209)468-3452 <br /> FA0007042 PR0505845 SCO01 08/31/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />