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Time In: 11:14 am <br /> Time Out: 11:45 am <br /> oPa�!N. San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> 4��FOR� <br /> Food Program Official Inspection Report <br /> Name of Facility: WICKLUND ELEMENTARY SCHOOL Date: 10/20/2015 <br /> Address: 300 E LEGACY DR, 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: Elizabeth Eaton Expiration Date:June 04,2018 <br /> Warewash Chlorine(Cl): ppm Heat: °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 /> Walk-in--40.00°F Warmer-- 152.00°F <br /> Bev-air(milk)--41.00°F Prep line--201.00° F <br /> NOTES <br /> No violations <br /> Sanitizer bucket-200ppm quat <br /> D/W-160F <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: Elizzabeth, Food Service <br /> EH Specialist: MELISSA NISSIM Phone: (209) 468-3168 <br /> FA0015723 PR0523278 SC101 10/2012015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />