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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> GrtoWSS grow$ here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: MOUNTAIN MIKE'S PIZZA, 19677 S MOUNTAIN HOUSE PKWY, MOUNTAIN HOUSE <br /> #34 Warewashing Facilites Maintained <br /> OBSERVATIONS:Obtain both Quat sanitizer test strips(for 3-comp sink)and chlorine sanitizer test strips(for dish <br /> machine). <br /> CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and <br /> materials shall be provided to measure the applicable sanitization method. (I14067(f,g), 114099, 114099.3, 114099.5, 114101(a), <br /> 114101.1, 114101.2, 114103, 114107, 114125) <br /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:The toilet paper dispensers need to be filled. <br /> CALCODE DESCRIPTION: Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br /> well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br /> facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in <br /> establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Ceiling panels are not in place. Position a majority of the ceiling panels for final inspection. <br /> The FRP on the wall above the 3-comp sink has many little holes. Replace sheet of FRP or fill in the holes with a silicone <br /> (waterproof_caulking. <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): 50 ppm Heat: °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 /> salad bar--35.00°F 2 door Pepsi true--41.00°F <br /> 2 door AAA Chef--7.20°F 3 comp sink--120.00°F--re-checked from 116F <br /> front of the house hand sink--112.00°F walk-in cooler--68.00°F <br /> 1 comp food prep sink--120.00°F mop sink--120.00°F <br /> back of the house hand sink--107.00°F restroom hand sinks(x2)--101.00°F <br /> 3 door True prep--36.00°F <br /> NOTES <br /> Food plan check pre-final inspection <br /> SR0084212 SC523 11/03/2022 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 3 Food Program Service Request Inspection Report <br />