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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0543643
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COMPLIANCE INFO_2021
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Last modified
9/16/2021 3:59:38 PM
Creation date
9/16/2021 3:57:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0543643
PE
1632
FACILITY_ID
FA0024795
FACILITY_NAME
PETER HANSEN ELEMENTARY SCHOOL
STREET_NUMBER
1400
Direction
S
STREET_NAME
DURANT
STREET_TYPE
TER
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
1400 S DURANT TER
P_LOCATION
99
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: PETER HANSEN ELEMENTARY SCHOOL, 1400 S DURANT TER, MOUNTAIN HOUSE 95391 <br />Food Program Official Inspection Report <br />veggie pinwheel at hot hold -- 157.00º F 3 door Traulsen -- 41.00º F <br />True milk cooler -- 41.00º F curly fries - out of the oven -- 166.00º F <br />hot dog at hot hold -- 123.00º F -- Facility uses time as a <br />temperature control. <br />NOTES <br />wiping cloth bucket 200 ppm Quat / test strips are available <br />3 lunch groups: 11a-12:20p <br />A re-inspection will occur in 2 weeks (on or after 9-28-2021) <br />No signature obtained <br />Report typed at the office 3:53-4:03pm <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/ Ana Duenas, Lead <br />KADEANNE LINHARES <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0024795 PR0543643 SC001 09/14/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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