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i �� I I I AI Environmental Health Department <br /> YSA N U N <br /> r�■z�w� COUNTY <br /> Greorness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: HAAGEN-DAZS, 19671 MOUNTAIN HOUSE PKWY, MOUNTAIN HOUSE <br /> left ice cream freezer---0.10°F 1 door Silver King prep--34.00°F <br /> back of the house hand sink -117.00°F mop sink--120.00°F <br /> front of the house hand sink- 101.00°F front counter 2 door reach in--38.00°F <br /> right ice cream freezer---5.90°F 1 door GTI Designs customer freezer--7.00°F <br /> 3-comp sink--120.00°F walk-in freezer--17.00°F <br /> restroom hand sink--61.00°F <br /> NOTES <br /> Food plan check final inspection conducted <br /> 2 dipper wells: both have an indirect connection <br /> OK to permit as a 1623 once the annual permit fee is paid ($350) <br /> No signature obtained <br /> Report typed in the office 3:27p-3:41 p <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/Phani Hukumathi, owne <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0086629 SC523 02/23/2024 <br /> EHD 16-23 Rev.07/05/2022 Page 3 of 3 Food Program Service Request Inspection Report <br />