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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 1053 am <br /> Time Out: 11:13 am <br /> Food Program Official Inspection Report <br /> Name of Facility: MUSD-LATHROP ELEMENTARY AND JUNIOR HIGH Date: 09/29/2021 <br /> Address: 15851 S FIFTH ST, LATHROP 95330 <br /> Owner/Operator: MANTECA UNIFIED SCHOOL DISTRICT Telephone: (209)825-3200 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Rachelle Metcalfe Expiration Date: February 28,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Norlake milk cooler--41.00°F walk-in cooler--40.00°F <br /> restroom hand sink-- 100.00°F <br /> NOTES <br /> wiping cloth bucket 100 ppm Cl/chlorine sanitizer test strips are available <br /> Wednesdays(today)are minimum days:grab&go bags of pre-packaged food (no hot food) <br /> Regular schedule days:food is received from Lathrop High School (delivered at approximately 10:15am) <br /> Lunch is served 10:40am-12:30pm <br /> No signature obtained <br /> Report typed up at the office 2pm-2:06pm <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/Shelly Metcalfe, NSL II <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0000181 PRO161188 SCO01 09/29/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 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 />