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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 <br /> QLtkoR�'� <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: PETER HANSEN ELEMENTARY SCHOOL, 1400 S DURANT TERRACE , MOUNTAIN HOUSE <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> This is a pre-final inspection. <br /> Equipment in place(not turned on): steam table, dish machine, salad bar w/sneeze guard,two hand sinks in kitchen, 2 comp <br /> prep sink, 3 comp ware wash sink w/pre-wash, 3 door Traulsen (x2), Metro hot hold cabinet, Bev Air milk cooler, 2 Vulcan <br /> ovens, 6 burner Vulcan stove. <br /> Item#6, 7, 14, 21,41,43 and 45A shall be complete at final inspection (or the OK to permit will not be issued). <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: Mike Tucker, Super. <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> SR0077563 SC523 07/27/2018 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program Service Request Inspection Report <br />