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Time In: 9:40 am <br /> Time Out: 10:50 am <br /> oPQ•�t IV <br /> .. San Joaquin County <br /> y� 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 /> '9Gl P Oftt� <br /> Food Program Official Inspection Report <br /> Name of Facility: MUSD-MANTECA HIGH SCHOOL Date: 04/01/2016 <br /> Address: 450 E YOSEMITE AVE, MANTECA 95336 <br /> Owner/Operator: MANTECA UNIFIED SCHOOL DISTRICT Telephone: (209)825-3200 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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 /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:The staff toilet is flushing continually. Staff is on site to repair the toilet ASAP. Kitchen staff instructed to <br /> use toilet in the staff lounge. <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Cindy Rebeiro Expiration Date: March 06,2020 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 110°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Warmer#1 --163.00°F veggies--165.00°F <br /> 3 door Traulsen-milk#1 --38.00°F turkey and potato bowl--warmer#2--112.00°F--time as a <br /> temperature control <br /> rice--171.00°F Milk#3--41.00°F <br /> 2 door Traulsen--40.00°F Warmer#2--143.00°F <br /> wash water--116.00°F Warmer#4--136.00°F <br /> Milk#4--41.00°F chicken--142.00°F <br /> Milk#5--41.00°F walk-in--41.00°F <br /> Norlake milk box--41.00°F Warmer#3--140.00°F <br /> Warmer#5--174.00°F Milk#2--37.00°F <br /> Kitchen warmer--146.00°F egg roll--145.00°F <br /> Big Bertha--160.00°F <br /> NOTES <br /> FA0001178 PRO161534 SCO01 04/01/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OIR <br />