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SIU I Environmental Health Department <br /> - i <br /> —COUNTY— <br /> Time <br /> *rBCIYrB55grows Time In: 9.49 am <br /> Time Out: 10:1 5am <br /> Food Program Official Inspection Report <br /> Name of Facility: MUSD-SEQUOIA SCHOOL Date: 03/23/2022 <br /> Address: 745 WAWONA 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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Paramjit Kaur Expiration Date:June 05,2026 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 112°F <br /> FOOD ITEM--LOCATION--TEMP°IF--COMMENTS <br /> Norlake top load cooler--Kitchen--41.00°F Walk in cooler--41.00°F <br /> 2 D Traulsen cooler--Kitchen--37.00°F Norlake milk box--Dining--45.00°F <br /> Milk box--Kitchen--44.00°F Hand sink--Rest room--101.00°F <br /> NOTES <br /> Sanitizer bucket is set up with chlorine 200 ppm. <br /> Chlorine test strips are on site. <br /> All warmers are off as it is a mini day for elementary schools. <br /> No violations at this time. <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 /> FA0001331 PRO161694 SC101 03/23/2022 <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 />