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Environmental Health Department <br /> SAN-6-JOAQUIN <br /> �M COUNTY <br /> r'�JFOSx'tYY r Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: JACKS PIZZA AND BAR, 1223 W YOSEMITE AVE , MANTECA 95336 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Required Expiration Date: <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 124°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Salami--Cold hold--44.00°F 3 D reach in cooler/under prep table--Prep area 40.00°F <br /> Walk in cooler--46.00°F 1 D cooler--By front hand sink--41.00°F <br /> Pepperoni Cold hold--45.00°F Back hand sink--117.00°F <br /> Hand sink Women rest room--105.00°F Ham--Cold hold--45.00°F <br /> Hand sink Men rest room--101.00°F Ground beef--Cold hold--44.00°F <br /> 3 D True display cooler--Front--45.00°F Sausage--Cold hold--45.00°F <br /> NOTES <br /> Change of ownership. <br /> Facility does not have mop sink on site.Waste water will be disposed in the floor sink, underneath the 3 comp sink in the back. <br /> Facility will be installing 4 CO2 tanks with 50 lbs each. <br /> Okay to operate. <br /> Obtain permit prior operating your business. <br /> PE 1626$425 to be paid for the new permit under the new ownership. <br /> 5021 from to be updated by the new operator. <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: GEHANE FAHMY Phone: (209)616-3052 <br /> FA0000863 SR0082870 SC061 11/30/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />