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SAN�JOAQUI N Environmental Health Department <br /> / COUNTY— Time In: 10:00 am <br /> Time Out: 10:44 am <br /> Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: Burlington Store#828 Date: 05/30/2019 <br /> Address: 1055 S MAIN ST, MANTECA 95337 <br /> Requestor: IRMA DONNAT, BURLINGTON COAT FACTORY WAREHOUSE Telephone: (609)387-7800 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0080665 <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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:The hot water at the mop sink was 74F. It was 71 F at the men's restroom hand wash sinks. I did not <br /> check the women's restroom. Increase hot water temperature at the mop sink to minimum of 120F, and 100F-108F at all <br /> hand wash sinks. Correct today. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: ma 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 /> 1 dr True Coke—41.00°F hand sink—men's rr—71.00°F <br /> mop sink—74.00°F <br /> NOTES <br /> Food consultation inspection. <br /> Burlington Coat Factory selling pre-packaged foods, candy, and sodas. <br /> Existing facility-FA0022940; however, needs a Program Record(PR)number. Owner to complete PINK form and 5021 form. <br /> TAX ID and/or PHOTO ID required. <br /> OK to permit as 1615($250)once all fees have been paid and all required forms completed (above). <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: Sherri bodder, stmgr <br /> EH Specialist: SCOTT SANGALANG Phone: (209)468-3452 <br /> FACO22940 SR0080665 SCO61 05/30/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br /> S <br />