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�...Q .. C San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �..• _ P• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 4�IFO'Rt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: KAISER PERMENANTE MANTECA, 1777 W YOSEMITE AVE, MANTECA 95336 <br /> #32 Food Properly Labeled and Honestly Presented <br /> OBSERVATIONS:The pre-packaged chocolate pudding parfaits in the 1 door True lack proper labels. Provide labels that <br /> include:the common name of the product, ingredients list,weight/quantity of product, contact information (name and place) <br /> of manufacturer, packer or distributor. <br /> Correct by 2 weeks. <br /> Repeat violation. <br /> CALCODE DESCRIPTION:Any food is misbranded if its labeling is false or misleading, if it is offered for sale under the name of another <br /> food, or if it is an imitation of another food for which a definition and standard of identity has been established by regulation. Food facilities <br /> with 19 or more chains in the state shall disclose nutritional information. (114087, 114089, 114089.1(a, b), 114090, 114093.1, 114094) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Elizabeth Tafoya Expiration Date: May 30,2022 <br /> Warewash Chlorine(Cl): ppm Heat: 180°F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> lasagna--hot hold--157.00°F--157-167F range hand wash sink--100.00°F <br /> 1 door True--41.00°F hard boiled egg 37.00°F <br /> 2 comp prep sink--107.00°F-- macaroni salad 38.00°F <br /> soup--hot hold--144.00°F 2 door Traulsen--46.00°F <br /> walk-in cooler--38.00°F melon--41.00°F <br /> tuna salad--41.00°F ahm in 2 door Traulsen--46.00°F--' <br /> shredded cheese--40.00°F hamburger patty--2 door Traulsen- 41.00°F <br /> sausage--cooling--90.00°F--*90-95F sausage patties and cottage cheese--36.00°F <br /> links-per Liz"cooling"and cooked at 7am.Temp taken at <br /> 11:30am. DISCARDED <br /> NOTES <br /> NOTE: Inspector shall check in with Administration- Room 105 prior to going back to the kitchen (obtain a visitor's badge). <br /> Kitchen is shared with hospital nutrition dept. Shared equip:walk-in cooler, dish machine, and 3 comp sink. <br /> wiping cloth buckets 300-400 ppm Quat <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 09/18/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />