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Time In. 8.25 am <br />Time Out: 8:41 am <br />San Joaquin County <br />Environmental Health Department <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www sjgov org/ehd <br />Mobile Food Facility Service Request Inspection Report <br />Name of Facility: MOUNTAIN HOUSE PIZZA COMPANY Date: 08/04/2017 <br />Address: 2900 E HARDING WAY, STOCKTON 95205 <br />Requestor: LINDSAY KEUREN, MOUNTAIN HOUSE PIZZA COMPANY Telephone: (408) 203-2034 <br />Program Element: 1601 - FOOD PLAN CHECK Request #: SR0077920 <br />Inspection Type: 523 - Plan Check/Report Review <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 foodbome illness. All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br />the food facility. <br />#34 Warewashing Facilites Maintained <br />OBSERVATIONS: Provide sanitizer test strips. <br />CAL CODE DESCRIPTION: Food facilities that prepare food shall be equipped with ware washing facilities. Testing equipment and <br />materials shall be provided to measure the applicable sanitization method. (114067(f,g), 114099, 114099.3, 114099.5, 114101(a), <br />114101.1, 114101.2, 114103, 114107, 114125) <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: Travis Van Keuren Expiration Date: April 11, 2021 <br /> <br />Warewash Chlorine (Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 1200 F <br /> <br />Quaternary Ammonia (QA): <br />PPm <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />2 dr True prep cooler-- 41.00° F <br />NOTES <br />This is a final inspection <br />Insignia on site <br />Food handler card on site <br />License #4PS8388, VIN 1J9DE2G24FF015214 <br />6 gallon water heater <br />Hand Sink Temp: 100 ° F <br />1 dr True -- 41.00° F <br />Ok to issue permit for 2017 after the fee of $237 is paid. PE: 1635 <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: Lindsay Van Keuren, Owner <br />EH Specialist: LEYNA HUYNH Phone: (209) 468-3446 <br />SR0077920 SC523 08/04/2017 <br />EHD 16-23 Rev. 06/30/15 <br />Page 1 of 1 Mobile Food Facility Service Request Inspection Report