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Time In: 10.3..5 nm <br /> Time Out: 11:15 am <br /> osa�iN. San Joaquin County <br /> Environmental Health Department <br /> W. ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> gtiFoaa <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-MADISON SCHOOL Date: 09/12/2016 <br /> Address: 2939 MISSION RD, STOCKTON 95204 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: 209) 933-7000 <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 immediate/v. 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: Marcela A Martinez Expiration Date: -July 30,2018 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> milk--small cooler--41.00° milk–norlake–39.00°F <br /> beans–warmer-- 148.00°F walk in--kitchen–41.00°F <br /> warmer--kitchen-- 165.00°F warmer--serve line/warmer-- 145.00°F <br /> milk--bevarage air--36.00°F cal cooling--kitchen--37.00°F <br /> NOTES <br /> No violations <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 /> 690*— <br /> Received by: Name and Title: marcelamartinez, lead II <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0002100 PRO160563 SCO01 09/12/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />