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1 Y t sEnvironmental Health-P11 DrepartmentSAOAOIN h `W2,di1i ik —COUNTY— <br /> Greatness grows here. <br /> Timelrz 10�25am <br /> Time Out: 10:43 am <br /> Food Program Official Inspection Report <br /> Name of Facility: MID-TOWN YOUNG ADULT S Date: 09/23/2019 <br /> Address: 120E CENTER ,MANTECA 95336 <br /> Owner/Operator: SJ CO OFFICE OF EDUCATION Telephon (209)468-90614 <br /> 209)468-9061 J <br /> Program Element: 1632 - EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION- Operating Permit <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 rause foodbome illness.All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Sasha Cannon Expiration Date:September 23,2021 �f <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F 1 ) 2— <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 108°F i 2 <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> hand sink—men's-- 100.00°F V00 GE fridge--41.00°F <br /> hand sink—women's-- 100.00°F OR) 'I <br /> NOTES <br /> This is the 1st routine inspection of the school year. <br /> Lunch arrives around 10:30 - 10:45AM. Lunch is at 11:00AM. <br /> No violations at the time. <br /> �, fah 5� S S n 6-� <br /> 3 <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 /> ,�Li/4�l•YV>,.• <br /> Received by: Name and Title: Sasha Cannon, special education tea <br /> EH Specialist: SCOTT SANGALANG Phone: (209)468-3452 <br /> FA0023804 PRO541522 SCO01 09/23/2019 <br /> EHD 16-23 Rev.08/10/2020 Page 1 of 1 Food Program 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 />