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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0161119
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COMPLIANCE INFO_2022
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Last modified
2/2/2022 8:42:37 AM
Creation date
2/2/2022 8:37:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0161119
PE
1624
FACILITY_ID
FA0000890
FACILITY_NAME
133 CLUB
STREET_NUMBER
133
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
21721044
CURRENT_STATUS
01
SITE_LOCATION
133 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: 133 CLUB, 133 W YOSEMITE AVE, MANTECA 95336 <br />Food Program Official Inspection Report <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 /> 120 <br /> 120 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Mop sink -- 120.00º F Hand sink -- Bar -- 100.00º F <br />Walk in cooler -- 39.00º F Hand sink -- Women rest room -- 113.00º F <br />5 CO2 tanks -- 100.00º L -- 20LBS each.3 comp sink -- Bar -- 119.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />No food preparation on site since COVID-19. As per owner, he is not planning to allow food preparation on site till further <br />notice. Food manager certificate and food handler cards are not required. <br />Owner is planning to remodel the back kitchen in the coming future. He know that plans should be submitted to our <br />department. <br />Facility is using Steramine (QUAT) tablets as sanitizer at the bar station and bleach at the back ware wash station. <br />2 comp grandfathered sink is used as hand sink as well. <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 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0000890 PR0161119 SC001 01/31/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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