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Program Element: 1601 - FOOD PLAN CHECK <br />Telephone: (209) 456-8615 Requestor: MICHAEL ROSALES, CITY OF MANTECA <br />Inspection Type: 523 - Plan Check/Report Review <br />Address: 1750 HOYT LN , MANTECA 95336 <br />Date: 10/28/2021Name of Facility: NORTHGATE COMMUNITY PARK <br />Food Program Service Request Inspection Report <br />10:00 am <br /> 9:35 am <br />Time Out: <br />Time In: <br />Request #: SR0082034 <br />Environmental Health Department <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 />OVERALL INSPECTION NOTES AND COMMENTS <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 />Required <br />No Temperature Data Collected <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Final inspection. <br />Water heater is fixed. 3 comp sink is at 150F, hand sink is at 128F and mop sink is at 165F. <br />Right side rest room has base tiles with 3/8 inch radius extending to the walls by at least 4 inches ( slim foot tiles installed). <br />All major violations are corrected. <br />Facility will be serving prepackaged food, hot dog, pizza ( limited food preparation) <br />Okay to operate. Obtain the permit prior operating your business. <br />PE 1615 $250 to be paid for the new health permit. <br />Pink and green forms need to be filled out. <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) 616-3052 <br />, <br />GEHANE FAHMY <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br />FA0000996 SR0082034 SC523 10/28/2021