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Time In: 9-55 am <br /> Time Out: 10:30 am <br /> o�Q%VIN San Joaquin County <br /> Q' Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sogov.org/ehd <br /> FOR <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-HOOVER SCHOOL Date: 03/09/2016 <br /> Address: 2900 KIRK AVE,STOCKTON 95204 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209) 933-7110 <br /> Program Element: 1632 - EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION (Chargeable) <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.Alt major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS: Cold water valve in rest room sink not working. Repair by 1 week <br /> CALCODE DESCRIPTION: The potable water supply shall be protected with a backflow or back siphonage protection device, as required <br /> by applicable plumbing codes.(114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances, shall be maintained so as to prevent any contamination, and shall be kept clean, fully operative, and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials, labeled,properly stored, and used for no other purpose.(114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Stella L Mendez Expiration Date: March 04, 2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 130°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 door hobalt--kitchen--38.00°F norlake cooler--cafeteria -38.00°F <br /> norlake cooler--cafeteria--41.00°F crescor warmer- kitchen-- 167.00°F <br /> 2 door hobalt--kitchen--38.00°F 2 door traulsen--kitchen--40.00°F <br /> norlake cooler--cafeteria--40.00°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: %\,91� Name and Title: stella mendez, Ifsll <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0002086 PRO160560 SC101 03/09/2016 <br /> EHD 16.23 Rev.06/30115 Page 1 of 1 Food Program OIR <br />