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i ,e,d O A Q U I iII4,f1, Environmental Health Department <br /> — U NJT� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: PETER HANSEN ELEMENTARY SCHOOL, 1400 S DURANT TER, MOUNTAIN HOUSE 95391 <br /> wiping cloth bucket 400 ppm Quat/Quat sanitizer test strips are available <br /> Food is prepped on site. <br /> Lunch: 11:05-12:15p <br /> Per Lead, she has taken the 5 year FSC class and passed the exam. When the certificate is received, please e-mail a copy to <br /> Kadeanne Linhares(klinhares@sjgov.org) <br /> No signature obtained <br /> Report typed 3:48p-3:56p <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/Ana Duenas, Lead <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0024795 PR0543643 SC101 04/27/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 2 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 />