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�...Q .. P San Joaquin County <br /> y� Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �..• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> '9Gl P Oftt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: DELTA BRIDGES CHARTER SCHOOL, 703 E SWAIN RD, STOCKTON 95207 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Dake Reser Expiration Date:August 08,2021 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 97°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 91°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2D True--40.00°F 2-comp--kitchen--97.00°F <br /> mop sink--120.00°F Handwash--kitchen--91.00°F <br /> RR men--100.00°F RR women--100.00°F <br /> NOTES <br /> sanitizer bucket 0 <br /> Notes: <br /> All food comes prepackaged from LUSD Delta Sierra Middle School. Facility uses only disposable utensils and no portioning <br /> on site; no warewashing at this time. <br /> Facility receives only one Routine inspection at this time based on past communication. If facility desires a billable second <br /> inspection annually(i.e.to meet State requirement for food entitlement), submit request in writing on letter head to EHD <br /> Qwong@sjcehd.com or EHD mailing address) <br /> Dairy is in 2D True milkbox, but taken out shortly before lunch is served on table. Food that uses time control only must be <br /> disposed within 4 hours after food is out of temperature control, and documentation kept. <br /> OIR emailed to jalfonso@njes.org <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: ROSALINDA WILSON,ADMINISTRA <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0023154 PRO540493 SCO01 11/15/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />