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SIU I Environmental Health Department <br /> - i COUNTY I <br /> Greotne55 grows here Time In: 11.54 am <br /> Time Out: 12:25 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: MUSD-BROCK ELLIOTT K-8 Date: 09/18/2023 <br /> Address: 1110 STONUM LN, MANTECA 95336 <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: Nadia Chicaiza Sanchez Expiration Date: February 23,2028 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 109°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 comp sink/built in prep table--120.00°F 2 D warmer--149.00°F <br /> Pizza--135.00°F Walk in cooler--41.00°F <br /> Lt 1 D Carter Hoffmann warmer--140.00°F 2 D Traulsen cooler--Dining area--41.00°F <br /> Rt 1 D Carter Hoffmann warmer--142.00°F 3 D Traulsen cooler--Dining area -41.00°F <br /> Hand sink--Rest room--101.00°F Prep sink--134.00°F <br /> NOTES <br /> Sanitizer bucket is set up with chlorine 100 ppm. <br /> Chlorine test strips are available. <br /> New walk in cooler and walk in freezer have been installed. <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 /> FA0005861 PR0503480 SCO01 09/18/2023 <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 />