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Food Program Service Request Inspection Report <br />Facility Name and Address: RETRO PIE, 211 E YOSEMITE AVE , MANTECA 95336 <br />Environmental Health Department <br />OVERALL INSPECTION NOTES AND COMMENTS <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 />07/22/2030Joseph Rugama <br />121 <br />141 <br />2 D reach in cooler/ under prep table -- back salad station -- 41º <br />Fahrenheit <br />2 D dough cooler -- by oven -- 41º Fahrenheit <br />Rt 2 D cooler -- Back -- 31º Fahrenheit Lt 2 D cooler -- Back -- 41º Fahrenheit <br />Prep sink -- 134º Fahrenheit Mop sink -- 120º Fahrenheit <br />Hand sink -- Rt rest room -- 104º Fahrenheit Hand sink -- Lt rest room -- 102º Fahrenheit <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Change of ownership inspection. <br />Minor remodeling to the front and back of the house. <br />Floor and coved base Epoxy used at front pizza station, back washing/ prepping area and both rest rooms. <br />Okay to operate. <br />Obtain permit prior operating your business. <br />Seats: 45 <br />PE1624 $373 permit fee + $15 technology fee to be paid. <br />5021 form to be updated. <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 />Marilu, Operator <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br />FA0001059 SR2501304 SC521 07/30/2025