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Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 836-3388 Owner/Operator: JEFFERSON SCHOOL DIST <br />Inspection Type: ROUTINE INSPECTION (Chargeable) <br />Address: 475 DARLENE LN, TRACY 95377 <br />Date: 02/28/2017Name of Facility: TOM HAWKINS SCHOOL KITCHEN <br />Food Program Official Inspection Report <br />11:05 am <br />10:29 am <br />Time Out: <br />Time In: <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <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 /> #35 Equipment/Utensils Approved and in Good Repair <br />OBSERVATIONS: Walk-in door not fully closing. Repeat violation. Correct in 2 weeks. <br />CALCODE DESCRIPTION: All utensils and equipment shall be fully operative and in good repair. (114175). All utensils and equipment <br />shall be approved, installed properly, and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br />114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 120 <br /> 100 <br />Barbara Leval April 25, 2018 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Warmer -- 155.00º F Walk-in -- 41.00º F <br />True (milk) -- 41.00º F Warmer -- 137.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Sanitizer bucket-100ppm chlorine <br />D/W-50ppm chlorine <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: <br />EH Specialist:Phone:(209) 468-3168 <br />Jessica, Food Service <br />MELISSA NISSIM <br />Page 1 of 1EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0014021 PR0518631 SC101 02/28/2017