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SANOAQU I N Environmental Health Department <br /> COUNT -( IY <br /> Crearrie3S grows here, Timeln: 11-10am <br /> Time Out: 11:37 am <br /> Food Program Official Inspection Report <br /> Name of Facility: PETER HANSEN ELEMENTARY SCHOOL Date: 04/25/2019 <br /> Address: 1400 S DURANT TERRACE , 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 /> 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--35.00°F rib-b-q hot hold--128.00°F <br /> True milk cooler--41.00°F cheese sticks-hot hold--148.00°F <br /> restroom hand sink--100.00°F 2 comp prep sink--120.00°F <br /> cheese sticks-line--162.00°F <br /> NOTES <br /> wiping cloth bucket 400 ppm Quat <br /> Lunch service 11:05a-12:20p <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: Deborah Geronilla, Food Service Lea <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0024795 PR0543643 SC101 04/25/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />