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1 1►I �OAQI I I AI Environmental Health Department <br /> COUNT -( IY <br /> ¢ �f flCri SS fGw3 I1BfE. Time In: 9.57 am <br /> Op0,,`' Time Out: 10:14 am <br /> Food Program Official Inspection Report <br /> Name of Facility: ONE LATHROP Date: 10/07/2019 <br /> Address: 16424 S HARLAN RD, LATHROP 95330 <br /> Owner/Operator: SJ CO OFFICE OF EDUCATION Telephone: (209)468-9061 <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.All major violations must be corrected immediately.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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 106°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Traulsen milk cooler--29.00°F restroom hand sinks--100.00°F <br /> NOTES <br /> FA0018063 PR0526681 SC101 10/07/2019 <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 />