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SIU I Environmental Health Department <br /> - i CUNTY I <br /> *rBCIYrB55grows Time In: 9.49 am <br /> Time Out: 10:1 3am <br /> Food Program Official Inspection Report <br /> Name of Facility: MUSD-GEORGE MCPARLAND ANNEX Date: 03/06/2023 <br /> Address: 1370 LONDON AVE, MANTECA 953367083 <br /> Owner/Operator: MANTECA UNIFIED SCHOOL DISTRICT Telephone: (209)825-3200 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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: Shelley Dorland Expiration Date:July 30,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 130°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Dining--105.00°F Rt Norlake milk box--Dining--41.00°F <br /> Lt Norlake milk box--Dining--40.00°F 2 D Traulsen cooler--41.00°F <br /> 2 D Traulsen cooler--Dining--38.00°F <br /> NOTES <br /> Chlorine test strips are available on site. <br /> Hot food is delivered from E Union School. <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 /> FA0014820 PR0521825 SCO01 03/06/2023 <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 />