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COMPLIANCE INFO_2023
EnvironmentalHealth
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1600 - Food Program
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PR0548088
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COMPLIANCE INFO_2023
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Last modified
8/15/2023 1:51:45 PM
Creation date
6/27/2023 11:12:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548088
PE
1624
FACILITY_ID
FA0027436
FACILITY_NAME
MOUNTAIN MIKE'S PIZZA
STREET_NUMBER
19677
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
19677 MOUNTAIN HOUSE PKWY
P_LOCATION
03
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: MOUNTAIN MIKE'S PIZZA, 19677 MOUNTAIN HOUSE PKWY, MOUNTAIN HOUSE 95391 <br />Food Program Official Inspection Report <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 100 122 <br /> 100 <br />needed <br />OVERALL INSPECTION NOTES AND COMMENTS <br />ranch dressing @ salad bar -- 48.00º F restroom hand sinks x2 -- 100.00º F <br />ham -- 38.00º F linguica -- 41.00º F <br />1 comp food prep sink -- 130.00º F 2 door Pepsi True -- 36.00º F <br />ground sausage -- 35.00º F jello @ salad bar -- 48.00º F <br />macaroni salad @ salad bar -- 48.00º F mozzarella cheese -- 41.00º F <br />walk-in cooler -- 41.00º F pizza @ buffet -- 136.00º F -- 136-161F <br />3 door True pizza prep -- 39.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />buffet: 11a-2p <br />No signature obtained <br />Report typed in the office 3:33p-3:43p <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:Phone:(209) 616-3025 <br />discussed w/ Darshan Singh, <br />KADEANNE LINHARES <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0027436 PR0548088 SC001 06/05/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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