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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLn@SSfwS hemTime In: 11.51 am <br /> Time Out: 12:17 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: WICKLUND ELEMENTARY SCHOOL Date: 04/20/2023 <br /> Address: 300 E LEGACY DR, 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: Elizabeth Eaton Expiration Date:August 11,2025 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 143°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> cheese @ serving line 121.00°F time as a temperature chili--110.00°F--actively cooling <br /> control <br /> restroom hand sink--100.00°F Bev Air milk cooler--39.00°F <br /> 2 comp food prep sink--143.00°F walk-in cooler--36.00°F <br /> chili @ serving line--173.00°F <br /> NOTES <br /> wiping cloth bucket 400ppm Quat/Quat sanitizer test strips are available <br /> Lunch service: 5 groups(11:10a-12:40p) <br /> Food is prepared on site <br /> No signature obtained <br /> Report typed up 3:43p-3:48p <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/Liz Eaton, Lead <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0015723 PR0523278 SC101 04/20/2023 <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 />