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SAN <br /> J O a Q U I N Environmental Health Department <br /> C0U ;N i y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: KAISER PERMENANTE MANTECA, 1777 W YOSEMITE AVE, MANTECA 95336 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Elizabeth Tafoya Expiration Date: May 30,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 118°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Rest room--101.00°F Shredded cheese--Cold hold(ice bath)/front counter--41.00° <br /> F <br /> 1 comp sink--Cook line--118.00°F 2 comp sink--118.00°F <br /> Walk in cooler--36.00°F 1 D cooler--Under ice bath/front counter--41.00°F <br /> Sliced tomatoes--Cold hold(ice bath)/front counter--40.00°F 1 D True display cooler/sandwiches--Counter--41.00°F <br /> Tuna--Cold hold(ice bath)/front counter--39.00°F Cooked rice--Hot hold/front counter--157.00°F <br /> Cooked sea food--Hot hold/front counter--178.00°F Hand sink--By walk in cooler--100.00°F <br /> 2 D Traulsen cooler--Front counter--41.00°F Non adjustable hand sink--Front counter--95.00°F <br /> Potato salad--Cold hold(ice bath)/front counter--38.00°F <br /> NOTES <br /> Cafeteria. <br /> Sanitizer bucket is set up with QUAT 300 ppm. <br /> QUAT test strips are available. <br /> Thermo label strips are available on site. <br /> Soda machine has been canceled and will be replaced by water and ice dispenser. No CO2 tanks on site. <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: <br /> EH Specialist: GEHANE FAHMY Phone: (209)616-3052 <br /> FA0015780 PRO162945 SCO01 04/01/2021 <br /> EHD 16-23 Rev.09/16/2020 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.sjgov.org/EHD <br />