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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> GrtOrAtSS grow$ here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: SOURDOUGH &COMPANY, 180 MOUNTAIN HOUSE TOWN CENTE , MOUNTAIN HOUSE <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door True freezer-right--4.00°F steam table-back of the house 140.00°F <br /> 3-comp sink--130.00°F steam table-front of the house -137.00°F <br /> back wall 2 door True prep-left--33.00°F restroom hand sink--105.00°F <br /> front of the house hand sink--101.00°F mop sink--123.00°F <br /> 1 door True freezer-left--17.00°F 1 comp food prep sink--124.00°F <br /> back of the house hand sink--102.00°F front counter 2 door True prep-right--33.00°F <br /> front counter 2 door True prep-left--37.00°F 2 door Tque--34.00°F <br /> 1 door True--41.00°F <br /> NOTES <br /> Food plan check final inspection <br /> Facility address: 19673 Mountain House Parkway <br /> OK to permit as a 1623 once the annual permit fee is paid <br /> Bulk CO2 tank: 1919 HMBP will be added as well <br /> Estimated opening date: next week sometime. <br /> No signature obtained <br /> Report typed in the office 2:41 p-2:58p <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/Alik Ogan, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0085079 SC523 03/16/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />