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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0529692
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COMPLIANCE INFO_2021
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Last modified
11/9/2021 1:12:21 PM
Creation date
10/7/2021 10:14:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0529692
PE
1624
FACILITY_ID
FA0019618
FACILITY_NAME
KUNG FU TEA
STREET_NUMBER
1448
STREET_NAME
HULSEY
STREET_TYPE
WAY
City
MANTECA
Zip
95336
APN
22120070
CURRENT_STATUS
01
SITE_LOCATION
1448 HULSEY WAY
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SA :J O Q V I + �Ips' Environmental Health Department <br /> COUNT <br /> Food Program Official Inspection Report <br /> Facility Name and Address: KUNG FU TEA, 1448 HULSEY WAY, MANTECA 95336 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Thao Le Expiration Date: November 14,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 124°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 107°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Front hand sink--120.00°F Front 2 comp sink--136.00°F <br /> 2 D Atosa reach in cooler/under prep table--Front--38.00°F Prep sink--124.00°F <br /> Mop sink--130.00°F Hand sink--Rest room--101.00°F <br /> 2 D True upright cooler--Back--41.00°F <br /> NOTES <br /> Facility is using QUAT 400ppm wipes to sanitize surfaces. <br /> Facility is using Steramine QUAT tablet to sanitize utensils in the manual washing process. <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 /> FA0019618 PR0529692 SCO01 10/06/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 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 />
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