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Time In: 2.08 pro <br /> Time Out: 2:45 om <br /> �...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 /> Name of Facility: TEATIME Date: 09/07/2016 <br /> Address: 1375 E YOSEMITE AVE, MANTECA 95336 <br /> Owner/Operator: KEO, KEVIN Telephone: (209)639-0944 <br /> Program Element: 1624-RESTAURANT/BAR 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 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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Kevin Keo Expiration Date:October 30,2019 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> chicken-cooked--180.00°F boba jellies--38.00°F <br /> 1 comp prep--120.00°F chicken-cold--38.00°F <br /> hand sink toilet room--120.00°F mop--120.00°F <br /> 1 door Arctic Air--38.00°F 1 door Arctic Air prep--38.00°F <br /> NOTES <br /> quat sanitizer and quat test strips available <br /> FHC compliant <br /> Soft screen at rear door-extends to ground +2"-be diligent with pest control (as needed-OK this date). <br /> OK to move 1 door Arctic Air stand up refrigerator pending fire Dept. approval. <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: Kevin Keo, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0000905 PRO161052 SCO01 09/07/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />