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r MJOA(1111 Environmental Health Department <br /> —COUNTY— <br /> - <br /> OUNTY I <br /> Gf$oLr�@SS f wS hem Time In: 11 51 am <br /> Time Out: 12:12 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: MELT Date: 05/22/2023 <br /> Address: 70 N SIERRA MADRE ST, MOUNTAIN HOUSE 95391 <br /> Owner/Operator: ATAMY, SHAHLA Telephone: <br /> Program Element: 1609-CLASS B COTTAGE FOOD-INDIRECT SALES <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: n/a Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 105°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door Samsung--39.00°F kitchen 2 comp sink--121.00°F <br /> restroom hand sink--105.00°F <br /> NOTES <br /> Routine Class B CFO in home inspection <br /> New sample label received this date: Rhubarb jam (no ginger) <br /> Food Handler Card for Shahla Atamy-expires 4-3-2026 <br /> permit handed to owner <br /> No signature obtained <br /> Report typed in the office 3:17p-3:23p <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/Shahla Atamy, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0024941 PR0543863 SCO01 05/22/2023 <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 />