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COMPLIANCE INFO_2022
EnvironmentalHealth
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1600 - Food Program
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PR0162111
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COMPLIANCE INFO_2022
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Last modified
10/18/2022 7:37:40 AM
Creation date
3/7/2022 7:43:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0162111
PE
1632
FACILITY_ID
FA0000796
FACILITY_NAME
MUSD-GOLDEN WEST SCHOOL
STREET_NUMBER
1031
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21707006
CURRENT_STATUS
01
SITE_LOCATION
1031 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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r I �,r Environmental Health Department <br /> SANJOAQUCUfT I� <br /> Greotness grows here Time In: 10.07 am <br /> Time Out: 10:42 am <br /> Food Program Official Inspection Report <br /> Name of Facility: MUSD-GOLDEN WEST SCHOOL Date: 03/04/2022 <br /> Address: 1031 N MAIN ST, MANTECA 95336 <br /> Owner/Operator: MANTECA UNIFIED SCHOOL DISTRICT Telephone: (209)825-3200 <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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Walk in freezer has ice build up on the compressor pipe. Repair the compressor in 2 weeks. <br /> I observe the walk in freezer door partially closing. Repair the door in 1 week and keep the door closed at all times. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Krista Joachim Expiration Date:October 14,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 129°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 102°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 D warmer 1 --140.00°F 1 D warmer 2--150.00°F <br /> Prep sink--121.00°F 2 D Hobart cooler--41.00°F <br /> Norlake milk box--45.00°F Walk in cooler--39.00°F <br /> NOTES <br /> Hot food is served today. <br /> Hot food usually delivered from Manteca High School. <br /> Sanitizer bucket is set up with chlorine 200 ppm. chlorine test strips are available. <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: GEHANE FAHMY Phone: (209)616-3052 <br /> FA0000796 PRO162111 SC101 03/04/2022 <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 />
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