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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> GrtoWSS grow$ here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: MOUNTAIN HOUSE CHEVRON, , MOUNTAIN HOUSE <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Beer Stop Vault--40.00°F 2 door Kool It--41.00°F <br /> 11 door walk-in cooler--37.00°F women's restroom hand sink- 85.00°F <br /> men's restroom hand sink--100.00°F back of the house hand sink -112.00°F <br /> mop sink--113.00°F 1 door Bev Air freezer--6.00°F <br /> F'Real freezer--5.00°F International Delights Creamiser--36.00°F <br /> 1 door Kool It freezer--11.00°F Market True--31.00°F <br /> 2 door True freezer--2.00°F front of the house hand sink--111.00°F <br /> 3 comp sink--113.00°F Structural Concepts merch.--35.00°F <br /> NOTES <br /> Food plan check final inspection conducted <br /> OK to permit as 1617 once the annual permit fee is paid ($301) <br /> An additional amount of 18 minutes is due$48.60(went over the pre-paid amount) <br /> Total due prior to issuance of a permit is$349.60 <br /> quat sanitizer and test strips are available <br /> No signature obtained <br /> Report typed in the office 3:14p-3:32p <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/Miguel Ceja, Super. <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0084021 SC523 09/11/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />