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SAN O U I Environmental Health Department <br /> .......... (: u a I y <br /> ,C1FOR?•.,. <br /> Greatness grows here, <br /> Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> MCDONALDS#15019 (209)938-1295 October 14, 2020 <br /> Facility Address: CERS ID: <br /> 1205 S MAIN ST, MANTECA, CA 95336 10653529 <br /> Inspection Contact: Title: Phone: <br /> David Cherry Supervisor (209)345-1122 <br /> Inspection Type: Program: <br /> INSPECTION/REINSPECTION (No Charge) 11919-HMBP-0O2 Only Food Facility <br /> Consent For: Consent Given By: <br /> ❑x Inspection ❑x Photos ❑ Samples I David Cherry, Supervisor <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> 0 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Overall Inspection Comments: <br /> No reportable amounts of hazardous materials were observed at the time of inspection. Site is no longer open. <br /> Site is currently exempt from California Health & Safety Code Chapter 6.95 reporting requirements. <br /> Note, a business shall establish and implement a business plan for emergency response to a release or <br /> threatened release of a hazardous material if the business handles a hazardous material or a mixture containing <br /> a hazardous material that has a quantity at any one time during the reporting year that is equal to, or greater <br /> than, 55 gallons for materials that are liquids, 500 pounds for solids, or 200 cubic feet for compressed gas. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: October 14, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: FREDERICK ERNEST, EHS Trainee (209)616-3026 <br /> David Cherry; Supervisor, Signature not captured. <br /> FA0006792 PR0540633 SCO03 10/14/2020 <br /> EHD Rev.9/16/2020 Page 1 of 1 OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />