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COMPLIANCE INFO_2015-2018
Environmental Health - Public
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1600 - Food Program
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PR0162945
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COMPLIANCE INFO_2015-2018
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Last modified
1/14/2021 4:12:43 PM
Creation date
3/12/2019 9:36:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2018
RECORD_ID
PR0162945
PE
1624
FACILITY_ID
FA0015780
FACILITY_NAME
KAISER PERMENANTE MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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JCastaneda
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EHD - Public
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Time In:.1-2.1;pm <br /> _ <br /> a¢� San Joaquin County Time Out: 2:20 pm <br /> j Environmental Health Department <br /> W. <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov_ora/ehd <br /> lr�o''Re+ <br /> Food Program Official Inspection Report <br /> Name of Facility: KAISER PERMENANTE MANTECA Date: 10/19/2015 <br /> Address: 1777 W YOSEMITE AVE,MANTECA 95336 <br /> Owner/Operator: MORRISON MGMT SPECIALISTS Telephone (954)459-1449 <br /> Program Element: 1624- RESTAURANTIBAR 21-50 SEATS <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Heatth 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 foodbome illness.Alt major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facifity, <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Aurora Caballero Expiration Date:April 30,2017 <br /> Warewash Chlorine(CI): ppm Heat: 180°F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> walls-in--35.00°F cottage cheese—38.00°F <br /> ham--35.00°F 2 door True--beverages—44.00°F—no PHF <br /> 1 door reach-in--line frig—33.00°F pasta—195.00°F <br /> queso fresco—41.00°F—Cacique green beans-- 172.00°F <br /> 2 door Traulsen--41.00°F 1 door True—40.00°F <br /> tuna--37.00°F watermelon--35.00°F <br /> NOTES <br /> No violations identified this date <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: Elizabeth Tafoya, Supervisor <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0015780 PRO162945 SCO01 10/1912015 <br /> EHO 16-23 Rev.06130/15 Page 1 of 1 Food Program OER <br />
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