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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y <br /> ttlir_ ' COUNTY— <br /> GreolneSS grows he, Time In: 10.31 am <br /> Time Out: 11:00 am <br /> Food Program Official Inspection Report <br /> Name of Facility: PETER HANSEN ELEMENTARY SCHOOL Date: 04/27/2023 <br /> Address: 1400 S DURANT TER, 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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:The water at the restroom hand sink is 71 F. Increase the temperature of the water to 100F(minimum ) <br /> to 108F (maximum). Correct ASAP. <br /> Repeat violation. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Jennifer Corliss Expiration Date:August 11,2025 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 119°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 door Traulsen--39.00°F chicken potato bowl @ hot hold cabinet--129.00°F <br /> restroom hand sink--71.00°F mashed potatoes @ service line--163.00°F <br /> corn @ service line--190.00°F popcorn chicken @ hot hold cabinet--142.00°F <br /> grilled cheese-out of oven--175.00°F True milk cooler--39.00°F <br /> 2 comp food prep sink--120.00°F gravy @ service line--191.00°F <br /> NOTES <br /> FA0024795 PR0543643 SC101 04/27/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 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 />