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Environmental Health Department <br />Time In: <br />10:00 am <br /> 9:30 am <br />Time Out: <br />Program Element: 1609 - CLASS B COTTAGE FOOD-INDIRECT SALES <br />Telephone: Owner/Operator: RABY, LINDA D <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 1835 PIEDMONT DR, MANTECA 95336 <br />Date: 04/26/2022Name of Facility: BLOOM BAKERY <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 /> #34 Warewashing Facilites Maintained <br />OBSERVATIONS: Chlorine test strips are not available. Provide strips in 1 week. <br />CALCODE DESCRIPTION: Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and <br />materials shall be provided to measure the applicable sanitization method. (114067(f,g), 114099, 114099.3, 114099.5, 114101(a), <br />114101.1, 114101.2, 114103, 114107, 114125) <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 /> 140 <br /> 140 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Residential cooler -- 41.00º F Hand sink -- Rest room -- 105.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Kitchen inspection. <br />QUAT wipes with 400 ppm, used to sanitize surfaces. <br />Bleach available to sanitize utensils. <br />Valid food handler card is provided. <br />Okay to operate. <br />Permit is provided to operator after conducting the inspection. <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 OIR <br />FA0023332 PR0540811 SC001 04/26/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD