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Environmental Health Department <br />Time In: <br />10:36 am <br />10:10 am <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 836-7400 Owner/Operator: LAMMERSVILLE UNIFIED SCHOOL DIST <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 570 ESCUELA DR, MOUNTAIN HOUSE 95391 <br />Date: 09/14/2021Name of Facility: BETHANY ELEMENTARY SCHOOL <br />Food Program Official Inspection Report <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 160 120 <br /> 100 <br />Megan Teese November 11, 2024 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />hot dog at hot hold -- 179.00º F fries at hot hold -- 170.00º F <br />True milk cooler -- 41.00º F walk-in cooler -- 37.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />wiping cloth bucket 200 ppm Quat / test strips are available <br />4 lunch groups: 10:50a-12p <br />No signature obtained <br />Report typed at the office 3:41-3:47pm <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: <br />EH Specialist:Phone:(209) 616-3025 <br />Discussed w/ Megan Teese, Lead <br />KADEANNE LINHARES <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0018605 PR0527464 SC001 09/14/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD