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r I Environmental Health Department <br /> SANJOAQU <br /> CUBIT <br /> Greotrre55 grows here Time In: 10:10 am <br /> Time Out: 10:45 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-MADISON SCHOOL Date: 09/04/2018 <br /> Address: 2939 MISSION RD, STOCKTON 95204 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7110 <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 immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #23 Rodents, Insects or Animals Inside Facility <br /> OBSERVATIONS:Saw dead roach on sticky trap on shelve at serve line. Discard trap and replace by 1 week. <br /> CALCODE DESCRIPTION:Each food facility shall be kept free of vermin:rodents(rats,mice), cockroaches,flies.(114259.1, 114259.4, <br /> 114259.5) <br /> #30 Food Storage/Display Properly Labeled <br /> OBSERVATIONS:Saw food being stored directly on floors at dry storage. It shall be stored 6 inches off floors. <br /> CALCODE DESCRIPTION:Food shall be stored in approved containers and labeled as to contents. Food shall be stored at least 6" <br /> above the floor on approved shelving. (114047, 114049, 114051, 114053, 114055, 114067(h), 114069(b)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Marcella A Martinez Expiration Date:July 19,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> crescor--serve line--160.00°F milk cooler--serve line--39.00°F <br /> norlake lunch room--35.00°F Beverage air--lunch room--38.00°F <br /> walk in -kitchen--41.00°F aqua temp--kitchen--150.00°F <br /> NOTES <br /> No comment entered. <br /> FA0002100 PRO160563 SCO01 09/04/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />