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COMPLIANCE INFO_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3600 - Recreational Health Program
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PR0162945
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COMPLIANCE INFO_2022
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Last modified
8/15/2022 8:02:20 AM
Creation date
8/15/2022 8:00:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3600 - Recreational Health Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
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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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: KAISER PERMENANTE MANTECA, 1777 W YOSEMITE AVE, MANTECA 95336 <br />Food Program Official Inspection Report <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 160 117 <br /> 100 <br />Expired <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Hand sink -- By the walk in cooler -- 112.00º F 1 comp sink -- At cooking area -- 112.00º F <br />2 D Traulsen cooler -- Front counter -- 45.00º F 1 D True display cooler/ sandwiches -- Customer side/ front <br />counter -- 41.00º F <br />Hand sink -- Rest room -- 101.00º F Salad -- Cold hold ( ice bath) / front counter -- 40.00º F <br />Cooked sea food -- Hot hold/ front counter -- 172.00º F Cooked rice -- Hot hold/ front counter -- 154.00º F <br />Walk in cooler -- 41.00º F 2 comp sink -- 115.00º F <br />Sliced tomatoes -- Cold hold ( ice bath) / front counter -- 39.00º F Shredded cheese -- Cold hold ( ice bath) / front counter -- 41.00º <br />F <br />Non adjustable hand sink -- Front counter -- 90.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Cafeteria. <br />Sanitizer bucket is set up with SmartPower at the recommended acceptable range by manufacturer. <br />SmartPower test strips are available. <br />Thermo label strips are available on site. <br />Soda machine has been canceled and will be replaced by water and ice dispenser. No CO2 tanks on site. <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:Phone:(209) 616-3052 <br />, <br />GEHANE FAHMY <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0015780 PR0162945 SC001 08/10/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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