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S ` ` , J O A Q U I N Environmental Health Department <br /> C0U "ATY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: 133 CLUB, 133 W YOSEMITE AVE, MANTECA 95336 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Needed 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: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Mop sink-- 120.00°F Hand sink--Women rest room--103.00°F <br /> Hand sink--Men rest room--105.00°F Hand sink--Bar--125.00°F <br /> Walk in cooler--41.00°F 3 comp sink--Bar--120.00°F <br /> NOTES <br /> Bar with food preparation. <br /> Food ( Hot dog, nacho cheese, salsa)is served on Fridays and Sundays. <br /> Facility is using Steramine(QUAT)tablets for the bar ware wash station and bleach for the back ware wash station. <br /> Facility is also using back 2 comp sink as hand sink as well. <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: david griffin, Employee <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0000890 PRO161119 SCO01 01/30/2020 <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 />