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° r I Environmental Health Department <br /> SAN-6-JOAQU <br /> Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: KAISER PERMENANTE MANTECA, 1777 W YOSEMITE AVE , MANTECA 95336 <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS: I observe some food debris underneath the cooking equipment at the cook line. Clean floor today and as <br /> needed. <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <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: 160°F Water/Hot Water Ware Sink Temp: 118°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 106°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 D True display cooler/sandwiches Front--41.00°F Walk in cooler--41.00°F <br /> 2 D Traulsen cooler--Front counter- 40.00°F 1 D cooler--Under ice bath/front counter 41.00°F <br /> Hand sink--By walk in cooler--116.00°F <br /> NOTES <br /> Cafeteria change of ownership. <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 /> Potentially hazardous food items on ice bath at the front counter, have temp at 41 F or below. <br /> Potentially hazardous food items on hot hold are at 135F or more. <br /> Okay to operate. Obtain permit asap. <br /> PE1624 $355 to be paid for the new health permit. <br /> 5021 form to be updated. <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 SR0084682 SC061 01/05/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />