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r: � I I I Environmental Health Department <br /> Y SA N U <br /> f �Z wti <br /> —COUNTY— Time In: 8.07 am <br /> Time Out: 8:30 am <br /> c�`�� Greotr+ess �rGws here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: MUSD-NEW HAVEN SCHOOL Date: 08/02/2021 <br /> Address: 14600 S AUSTIN RD , MANTECA 95336 <br /> Requestor: JONATHAN GISH, TPH ARCHITECTS Telephone: (209)571-2232 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0082015 <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 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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> restroomhand sink 100.00°F mop sink 120.00°F <br /> Norlake milk cooler 35.00°F hand sink- 100.00°F <br /> NOTES <br /> Food plan check final inspection for new serving area in the new Multi-Purpose building. <br /> Ware washing will occur in the existing kitchen <br /> OK to operate new serving line <br /> No signature obtained <br /> Report typed off site 1:10pm-1:17pm <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/Katie Anderson, CT Bra <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0000953 SR0082015 SC523 08/02/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Food Program Service Request Inspection Report <br />