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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 /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:Provide and properly supply a 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:Provide 3/8" (minimum)radius base coving in the janitorial area. Rubber or vinyl top set base is not a <br /> permitted material for this area. <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 /> OBSERVATIONS <br /> Name on Food Safety Certificate: Deborah Geronilla Expiration Date:October 26,2020 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 door Traulsen freezer--28.00°F steam table water--160.00°F <br /> 2 comp prep sink--120.00°F 1 door Bev Air milk cooler--39.00°F <br /> restroom hand sink--108.00°F 3 door Traulsen--39.00°F <br /> NOTES <br /> Final inspection conducted (pre-final conducted 7-27-18) <br /> OK to permit as a 1632 <br /> School starts on 8-8-28 <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 /> o <br /> Received by: Name and Title: Mike Tucker, Super. <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> SR0077563 SC523 08/06/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />