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Time In: 9 20 am <br /> San Joaquin County Time Out: 10:05 am <br /> .4�tN <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �. �P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.segov.org/ehd <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-COMMODORE STOCKTON SKILLS Date: 09/13/2016 <br /> Address: 2.725 MICHIGAN AVE,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: Ascencion Fregoso Expiration Date: lay 06,2021 <br /> Warewash Chlorine(Cl): ppm Heat: 160 OF Water/Hot Water Ware Sink Temp: 126°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION --TEMP°F --COMMENTS <br /> crescor warmer--kitchen-- 170.UU° i walk in--kitchen—40.00°F <br /> norlake cooler--kitchen—35.00°F meat sticks--CH warmer--150.00°F <br /> beverage air cooler--lunch room—36.00°F CH warmer--kitchen-- 164.00°F <br /> norlake cooler--kitchen--36.00°F potato--crescor warmer—160.00°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 /> Received by: Name and Title: Ascencion Fregoso, Lead II <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0002065 PRO160568 SCO01 09/13/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br />