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is NJI I Environmental Health Department <br /> SAOAOIN <br /> COUNTY <br /> — <br /> Time�f flCri SS fGw3 I1BfE. Time In: 11.33 am <br /> c,Fovr Time Out: 12:10 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: BETHANY ELEMENTARY SCHOOL Date: 09/15/2020 <br /> Address: 570 ESCUELA DR, MOUNTAIN HOUSE 95391 <br /> Owner/Operator: LAMMERSVILLE UNIFIED SCHOOL DIST Telephone: (209)836-7400 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Megan Teese Expiration Date: November 11,2024 <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 /> 2 comp prep sink-- 120.00°F restroom hand sink--100.00°F <br /> pizza-hot hold-leftt cabinet--149.00°F pizza-hot hold-right cabinet--137.00°F--Pizza out of the oven <br /> at 10:30am <br /> walk-in cooler--41.00°F <br /> NOTES <br /> wiping cloth buckets 400 ppm Quat/test strips available <br /> Food distribution on Tues&Thurs/1 hot and 1 cold lunches on Tues/ 1 hot and 2 cold lunches on Thurs <br /> Food distribution time curbside is 11:45a-1 pm <br /> Food distribution occurring at time of inspection <br /> No signature obtained/COVID-19 <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: Discussed w/Megan Teese, Food Se <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-3420 <br /> FA0018605 PR0527464 SCO01 09/15/2020 <br /> EHD 16-23 Rev.08/10/2020 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.sjgov.org/EHD <br />