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J <br /> Environmental Health Department <br /> A N 0 A 0 U I N <br /> t� : -�'o-- C:0U N TY <br /> Y � + Greatness grows here. <br /> Food Program Official Inspection Report <br /> Name of Facility:PETER HANSEN ELEMENTARY SCHOOL Date: 10/20/2025 <br /> Address: 1400 S DURANT TERRACE, MOUNTAIN HOUSE 95391 <br /> Owner/Operator: LAMMERSVILLE UNIFIED SCHOOL DIST Telephone: (209)836-7400 <br /> Program Element: 1632- EXEMPT FOOD <br /> Inspection Type: Routine Reinspection on or after: <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 <br /> closure of the food facility. <br /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:The soap dispenser at the hand sink in the restroom is empty. Refill the soap dispenser today. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment.(113953, 113953.1, 114067(f)) <br /> This is(Minor-Food)Violation. <br /> #34 Warewashing Facilites Maintained <br /> OBSERVATIONS:Quat sanitizer test strips are needed. Obtain quat sanitizer test strips(0-400ppm)by 1 week. <br /> CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities.Testing equipment and <br /> materials shall be provided to measure the applicable sanitization method.(114067(f,g), 114099, 114099.3, 114099.5, 114101(a), <br /> 114101.1, 114101.2, 114103, 114107, 114125) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate Nicole Tobias Cooks Expiration Date 11/11/2025 <br /> Warewash Chlorine(Cl): ppm Heat: 160 F Water/Hot Water Ware Sink Temp: 126 °F <br /> Quaternary Ammonia(QA):200 ppm Hand Sink Temp: 100 -F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> grilled cheese at hot hold--1620 Fahrenheit 1 door Traulsen--380 Fahrenheit <br /> restroom hand sink--1020 Fahrenheit True milk cooler--400 Fahrenheit <br /> 3 door Traulsen--41°Fahrenheit chicken tenders for wraps--at prep--800 Fahrenheit <br /> 2 comp food prep sink--1260 Fahrenheit <br /> PRO543643 10/20/2025 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Food Program OIR <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 />