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Food Program Service Request Inspection Report <br />Facility Name and Address: BEST WESTERN EXECUTIVE INN & SUITES, 1415 E YOSEMITE AVE , MANTECA 95336 <br />Environmental Health Department <br /> #43 Toilet Facilites Clean/ Supplied/ Maintained <br />OBSERVATIONS: Employee rest room hand wash station is lacking soap and paper towels. Provide soap and paper towels <br />today. Corrected on site. <br />CALCODE DESCRIPTION: Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br />well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br />facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons: in <br />establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <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 /> 122 <br /> 120 <br />Required <br />Frigidaire residential cooler -- 45.00º F 1 D Everest cooler Left side/ Dairy -- 41.00º F <br />1 D Everest cooler Right side -- 39.00º F Mini cooler/ yogurt -- Front -- 43.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Change of ownership. <br />Beach will be used to sanitize utensils and surfaces. <br />Chlorine test strips on site. <br />Okay to operate. <br />Obtain permit asap. <br />PE1623 $350 to be paid for new health permit. <br />5021 form was 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:Phone:(209) 616-3052 <br />, <br />GEHANE FAHMY <br />Page 2 of 2EHD 16-23 Rev. 07/05/2022 Food Program Service Request Inspection Report <br />FA0000926 SR0086150 SC061 12/21/2022