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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLn@SS 5rws hemTime In: 11.05 am <br /> Time Out: 11:49 am <br /> Food Program Official Inspection Report <br /> Name of Facility: MOUNTAIN HOUSE HIGH SCHOOL Date: 03/25/2022 <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): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> spicy chiken sandwich at service line--131.00°F--facility uses walk-in cooler--39.00°F <br /> time as a temperature control <br /> restroom hand sink--100.00°F cheese and pepperoni pizza at service line--125.00°F-- <br /> 125-14OF range <br /> RPI-right--41.00°F french fries at hot hold--139.00°F <br /> 3 door Traulsen--40.00°F chicken sandwich at service line--130.00°F--facility uses time <br /> as a temperature control <br /> lasagna at service line--191.00°F BBQ chicken pizza at service line--125.00°F--facility uses time <br /> as a temperature control <br /> RPI-left--41.00°F 4 door Traulsen-left--41.00°F <br /> 4 door Traulsen-right(by ice machine)--38.00°F lasagna at hot hold--188.00°F <br /> spaghetti at service line--150.00°F <br /> NOTES <br /> wiping cloth bucket 400 ppm Quat/Quat sanitizer test strips are available(QT-40) <br /> All food is prepped on site/no transport <br /> No signature obtained <br /> Report typed up at the office 3:14p-3:22p <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, FS Director <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0022475 PR0539305 SC101 03/25/2022 <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 />