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S A J 0 A Q U I Environmental Health Department <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: INDIAN RESTAURANT, CORDES PLAZA, 1166 S TRADITION ST, MOUNTAIN HOUSE <br /> OBSERVATIONS:Properly fill the toilet paper dispenser. <br /> CALCODE DESCRIPTION:Toilet facilities shall be maintained clean,sanitary and in good repair.Toilet rooms shall be separated by a <br /> well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br /> facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons: in <br /> establishments with more than 20,000 sq ft.establishments offering on-site liquor consumption.(114250, 114250.1, 114276) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate needed by 60 days Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> front of the house hand sinks--100°Fahrenheit back of the house hand sink--102°Fahrenheit <br /> restroom hand sink--100°Fahrenheit 3-comp sink--133°Fahrenheit <br /> 1 comp food prep sink--122°Fahrenheit mop sink--130°Fahrenheit <br /> NOTES <br /> Food Plan check pre-final inspection conducted for Spicy Bites <br /> No refrigeration on site this date <br /> One person shall obtain the 5 year Food Safety Certificate within 60 days. Once obtained, provide a copy to Kadeanne Linhares <br /> A final inspection is scheduled for Friday, May 16 at 9:30-10a <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/Suresh Dronavalli, owne <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0086380 SC2160 05/12/2025 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />