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Environmental Health Department <br />Facility Name and Address: FORUM DYNASTY RESTAURANT, 1264 W LATHROP RD, MANTECA 95336 <br />Food Program Official Inspection Report <br /> #30 Food Storage/Display Properly Labeled <br />OBSERVATIONS: An open bag of bread crumbs is being stored in the opened original bag. Store ingredients/food from <br />opened bags in a closed, clean container. Some food items are being stored on the floor in the walk in ref. Store all food 6 <br />inches above the floor. <br />CALCODE DESCRIPTION: Food shall be stored in approved containers and labeled as to contents. Food shall be stored at least 6" <br />above the floor on approved shelving. (114047, 114049, 114051, 114053, 114055, 114067(h), 114069 (b)) <br /> #39 Thermometers Provided/Accurate/Easily Visible <br />OBSERVATIONS: The walk in refrigerator lacks an accurate thermometer. Provide an accurate thermometer by 2 days. <br />CALCODE DESCRIPTION: An accurate easily readable metal probe thermometer suitable for measuring temperature of food shall be <br />available to the food handler. A thermometer +/- 2 #F shall be provided for each hot and cold holding unit of potentially hazardous foods <br />and high temperature warewashing machines. (114157, 114159) <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 /> 50 120 <br /> 100 <br />Carol Szeto October 25, 2024 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />true 1 door -- kitchen -- 38.00º F walk in -- 41.00º F <br />2 door prep -- kitchen -- 45.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />No comment entered. <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: <br />, <br />NICHOLAS WIESEMAN <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0007042 PR0505845 SC001 09/30/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com