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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLn@SSfwS hemTimeln: 1117am <br /> Time Out: 11:47 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SEBASTIAN QUESTA ELEMENTARY SCHOOL Date: 10/10/2023 <br /> Address: 685 N MONTEBELLO ST, 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 -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: Fabiola Guajardo Expiration Date:August 11,2025 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 139°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> grilled cheese-out of oven--163.00°F broccoli-just cooked--157.00°F <br /> Bev Air mik cooler--41.00°F orange chicken-hot hold--151.00°F <br /> walk-in cooler--39.00°F 2 door True @ line--36.00°F <br /> rice-line--187.00°F grilled cheese-hot hold--158.00°F <br /> 2 door True @ cooking equipment--38.00°F orange chicken-line--163.00°F <br /> NOTES <br /> wiping cloth bucket 400ppm Quat/test strips are available <br /> 2nd chance breakfast served: 9:45a/10a/10:30a <br /> Lunch is served 10:55a-12:15p(4 groups)/food is prepped on site <br /> No signature obtained <br /> Report typed in the office 4:07p-4:14p <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/Fabiola Guajardo, Lead <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0020478 PR0535508 SCO01 10/10/2023 <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 />