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i ,e,d O A Q U I iII4,f1, Environmental Health Department <br /> — U NJT� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: MUSD-MOSSDALE,455 BROOKHURST BLVD, LATHROP 95330 <br /> wiping cloth bucket 100 ppm Cl/chlorine sanitizer test strips are available <br /> Wednesdays(today)are minimum days:grab&go bags of pre-packaged food (no hot food) <br /> Regular schedule days:food is received from Lathrop High School (delivered at approximately 10am) <br /> Lunch is served 10:40am-1 pm <br /> No signature obtained <br /> Report typed up at the office 2:07pm-2:17pm <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/Victoria Ramirez, NSL <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0018483 PR0527285 SCO01 09/29/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program OIR <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 />