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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0523278
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Last modified
4/7/2021 9:41:19 PM
Creation date
1/23/2019 10:36:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0523278
PE
1632
FACILITY_ID
FA0015723
FACILITY_NAME
WICKLUND ELEMENTARY SCHOOL
STREET_NUMBER
300
Direction
E
STREET_NAME
LEGACY
STREET_TYPE
DR
City
MOUNTAIN HOUSE
Zip
95391
APN
25404004
CURRENT_STATUS
01
SITE_LOCATION
300 E LEGACY DR
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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Time In: 9.47 am <br /> Time Out: 10:20 am <br /> op.. .. 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: WICKLUND ELEMENTARY SCHOOL Date: 10/13/2016 <br /> Address: 300 E LEGACY DR, MOUNTAIN HOUSE 95391 <br /> Owner/Operator: LAMMERSVILLE SCHOOL DIST Telephone: (209)836-7400 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION (Chargeable) <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 /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization <br /> OBSERVATIONS:Sanitizer bucket at less than 150ppm quat. Corrected. <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized. (I 13984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101 (b-d), 114105, 114109, 114111, 114113, 114115(a,b, d), 114117, 114125(b), 114135, 114141) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Elizabeth Eaton Expiration Date:October 26,2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 100°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Walk-in--41.00°F Milk cooler--41.00°F <br /> Warmer--135.00°F <br /> NOTES <br /> Sanitizer bucket-<150ppm quat--->200ppm quat <br /> D/W-160F <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: f Name and Title: Elizabeth, Food Service <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0015723 PRO523278 SC101 10/13/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />
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