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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sj�gov.orq/ehd <br /> ��FORN <br /> Food Program Official Inspection Report <br /> Facility Name and Address: SUSD-VICTORY SCHOOL, 1838 W ROSE ST, STOCKTON 95203 <br /> #47 Signs Posted; Last Inspection Report Available <br /> OBSERVATIONS: SB180 not posted. Post today <br /> CALCODE DESCRIPTION:Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br /> hands after using the restroom(113953.5)(b)No smoking signs shall be posted in food preparation, food storage, warewashing, and <br /> utensil storage areas(113978).(c) Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br /> such as salad bars and buffets.(d)Any food facility constructed before January 1, 2004, without public toilet facilities, shall prominently <br /> post a sign within the food facility in a public area stating that toilet facilities are not provided(113725.1, 114381(e)). Proper posting of <br /> nutritional information at facilities with 20 or more chains in California(114094). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Amanda M Romero Expiration Date: vlay 03,201 i <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp 108°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 126°F <br /> FOOD ITEM--LOCATION --TEMP°F --COMMENTS <br /> 3 door hobalt--kitchen--41.00°F right milk cooler--lunch room--40.00°F <br /> red warmer--kitchen— 150.00°F left milk cooler—lunch room—41.00°F <br /> 2 door hobalt—kitchen—41.00°F <br /> NOTES <br /> No comment entered. <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: tanya shoptaw. lead food service 2 <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0001900 PRO160567 SC001 09/01/2015 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />