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Environmental Health Department <br />Time In: <br />10:55 am <br />10:10 am <br />Time Out: <br />Program Element: 1628 - LICENSED HEALTH CARE FACILITY <br />Telephone: Owner/Operator: CRESTWOOD MANOR <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 1130 MONACO CT, STOCKTON 95207 <br />Date: 10/25/2021Name of Facility: CRESTWOOD MANOR <br />Food Program Official Inspection Report <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 100 <br /> 300 <br /> 120 <br /> 120 <br />Raymond Nevarez April 15, 2024 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />2 door cooler 3 -- serve line -- 40.00º F walk in -- outside/exterior -- 41.00º F <br />2 door cooler 2 -- kitchen -- 41.00º F 2 door cooler 1 -- kitchen -- 39.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />No Violations <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:Phone:(209) 616-3051 <br />Sandra Andrade, kitchen staff <br />MARIBEL FLOHRSCHUTZ <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0018488 PR0527295 SC001 10/25/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD