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Time In: 12-05 pm <br /> Time Out: 12:51 pm <br /> PquitY San Joaquin County <br /> )O. .QOG <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq.. �a• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> �/PORN <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-GEORGE BUSH ELEMENTARY SCHOOL Date: 03/07/2017 <br /> Address: 5420 FRED RUSSO DR, STOCKTON 95212 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7110 <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 immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #8 Use of Time as a Public Health Control <br /> OBSERVATIONS:Some of the time log does not include start time of potentially hazardous food (PH F)that use time <br /> control only. <br /> CALCODE DESCRIPTION:When time only,rather than time and temperature is used as a public health control,records and <br /> documentation must be maintained(114000) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Kelli Gomez Expiration Date: March 04,2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 139°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> salad--salad bar--167.00°F mop--128.00°F <br /> RR men--115.00°F 1-comp--128.00°F <br /> RR women--132.00°F 2-comp--127.00°F <br /> 2D Traulsen left--41.00°F Salsa--salad bar--44.00°F <br /> 1 D Carter Hoffman--136.00°F 1-comp--146.00°F <br /> WI--41.00°F 2D Traulsen right--33.00°F <br /> NOTES <br /> Notes: <br /> -Sanitizer bucket 200 ppm <br /> -Breakfast 715 to 740, lunch from 1000 to 1245 <br /> OIR emailed to s.fuller@stocktonusd.net and pbrookens@stocktonusd.net <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: Sherrill Fuller, IFS II <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0017872 PRO526416 SCO01 03/07/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />