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SAN JOAQUIN Environmental Health Department <br /> IJ NIT Y_ Time In: 10-00 am <br /> ry Time Out: 11:19 am <br /> SclForit' Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: CHICK FIL A Date: 04/16/2020 <br /> Address: 1405 E YOSEMITE AVE , MANTECA 95336 <br /> Requestor: BRETT KELLER,4G DEVELOPMENT&CONSULTING INC Telephone: (760)639-8791 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0078870 <br /> Inspection Type: 523-Plan Check/Report Review <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 /> #1 Demonstration of Knowledge <br /> OBSERVATIONS:Provide food safety certificate within 60 days and food handler cards for all employees within 30 days for <br /> the date of hiring. <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare,handle or serve non-prepackaged potentially hazardous food,shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Drive thru window air curtain is on at all times while window is open and closed. Repair curtain before <br /> operating to be on only when the window is open. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 126°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 107°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Drive thru window--109.00°F 2 D Traulsen cooler--Front counter--34.00°F <br /> 2 D Traulsen cooler--By back fryers station--41.00°F 2 D Traulsen cooler Rt--Back/by dish washer 36.00°F <br /> Hand sink--Men rest room 104.00°F 2 comp sink--127.00°F <br /> 2 D Traulsen cooler Middle -Back/by dish washer--37.00°F Hand sink--By dish washer--102.00°F <br /> 3 D Traulsen reach in cooler--By walk in cooler--39.00°F 2 D Traulsen cooler Lt--Back/by dish washer -36.00°F <br /> Mop sink--127.00°F Walk in cooler--39.00°F <br /> 1 D Traulsen cooler--By hand sink at drive thru window--40.000 2 D Traulsen cooler--By front fryers station--39.00°F <br /> F <br /> Hand sink--Women rest room--101.00°F Hand sink--Back/by ice maker--101.00°F <br /> 1 D Traulsen cooler--Front counter--41.00°F 3 D Randell reach in cooler--Back--40.00°F <br /> FA0000921 SR0078870 SC523 04/16/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program Service Request Inspection Report <br />