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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
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<br /> Food Program Service Request Inspection Report
<br /> Facility Name and Address: PETER HANSEN ELEMENTARY SCHOOL, 1400 S DURANT TERRACE , MOUNTAIN HOUSE
<br /> #21 Hot and Cold Potable Water Not Available
<br /> OBSERVATIONS:Provide hot and cold water to all sinks.
<br /> Hot water shall be provided at 120F(minimum)to the 3-comp sink,the 2 comp prep sink, and the janitorial sink.
<br /> Hot water shall be provided at 100-108F for all hand sinks.
<br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times.
<br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195)
<br /> #33 Nonfood Contact Surfaces Clean
<br /> OBSERVATIONS:Properly clean and sanitize all nonfood contact surfaces prior to opening/beginning food service.
<br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c))
<br /> #41 Plumbing Maintained;Approved Back Flow Device
<br /> OBSERVATIONS:Provide an approved back flow prevention device at the janitorial sink.
<br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required
<br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing
<br /> ordinances,shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose
<br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171,
<br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269)
<br /> #43 Toilet Facilites Clean/Supplied/Maintained
<br /> OBSERVATIONS:Provide and install a properly supplied toilet paper dispenser in the toilet room.
<br /> CALCODE DESCRIPTION:Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a
<br /> well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet
<br /> facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in
<br /> establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276)
<br /> #45 Floors,Walls, Ceilings; Clean and Maintained
<br /> OBSERVATIONS:A) Provide 3/8"(minimum)radius base coving in the janitorial area. Rubber or vinyl top set base is not
<br /> permitted in this area.
<br /> B)Properly install all ceiling panels in the kitchen prior to opening/beginning food service.
<br /> CALCODE DESCRIPTION: The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor
<br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily
<br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original
<br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d),
<br /> 114266, 114268, 114268.1, 114271, 114272)
<br /> OVERALL INSPECTION NOTES AND COMMENTS
<br /> SR0077563 SC523 07/27/2018
<br /> EHD 16-23 Rev.06/30/15 Page 2 of 3 Food Program Service Request Inspection Report
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