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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y <br /> ttlir_ ' COUNTY— <br /> Greol ens grows he, . Time In: 1020 am <br /> Time Out: 10:59 am <br /> Food Program Official Inspection Report <br /> Name of Facility: MOUNTAIN HOUSE HIGH SCHOOL Date: 04/07/2021 <br /> Address: 1090 S CENTRAL PKWY, 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 (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: Bernie Hill Expiration Date:August 11,2025 <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 /> spaghetti at hot hold--139.00°F walk-in cooler--40.00°F <br /> lasagna at hot hold-- 161.00°F 3 door Traulsen--435.00°F <br /> 4 door Traulsen hot hold cabinet--143.00°F True milk cooler--41.00°F <br /> 4 door Traulsen-right--41.00°F restroom hand sink--100.00°F <br /> 4 door Traulsen-left--41.00°F <br /> NOTES <br /> wiping cloth bucket 400 ppm Quat <br /> Curbside service on Wednesdays for high school students(7 days of food) 10:15a-12:15p <br /> Students due back to campus 4-19-21 <br /> Facility also preps food for Hansen School -this food leaves the high school around 11:30am <br /> No signature obtained/COVID-19 <br /> Report typed up at the office 3:40-3:48p <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/Bernie Hill, Director <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0022475 PR0539305 SC101 04/07/2021 <br /> EHD 16-23 Rev.09/16/2020 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 />