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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 11:05 am <br /> •'C1FaR�;` Greotness grows here. <br /> Time Out: 11:40 am <br /> Food Program Official Inspection Report <br /> Name of Facility: BLOOM BAKERY Date: 05/10/2021 <br /> Address: 1835 PIEDMONT DR, MANTECA 95336 <br /> Owner/Operator: RABY, LINDA D Telephone: <br /> Program Element: 1609-CLASS B COTTAGE FOOD-INDIRECT SALES <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 cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #30 Food Storage/Display Properly Labeled <br /> OBSERVATIONS:Flour and sugar container is lacking label. Provide label today. <br /> CALCODE DESCRIPTION:Food shall be stored in approved containers and labeled as to contents. Food shall be stored at least 6" <br /> above the floor on approved shelving. (114047, 114049, 114051, 114053, 114055, 114067(h), 114069(b)) <br /> #34 Warewashing Facilites Maintained <br /> OBSERVATIONS:Chlorine test strips are not available. Provide strips in 1 week. <br /> CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and <br /> materials shall be provided to measure the applicable sanitization method. (I14067(f,g), 114099, 114099.3, 114099.5, 114101(a), <br /> 114101.1, 114101.2, 114103, 114107, 114125) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 126°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 126°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Residential cooler--41.00°F Hand sink--Rest room--101.00°F <br /> NOTES <br /> Kitchen inspection. <br /> QUAT wipes with 400 ppm, used to sanitize surfaces. <br /> Bleach available to sanitize utensils. <br /> Okay to operate. <br /> Permit is provided to operator after conducting the inspection. <br /> FA0023332 PR0540811 SCO01 05/10/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Food Program OR <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 />