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COMPLIANCE INFO_2015-2019
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PR0515583
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COMPLIANCE INFO_2015-2019
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Entry Properties
Last modified
7/29/2020 2:06:05 PM
Creation date
2/21/2019 4:32:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2019
RECORD_ID
PR0515583
PE
1632
FACILITY_ID
FA0012233
FACILITY_NAME
MUSD-GREAT VALLEY ELEMENTARY SCHOOL
STREET_NUMBER
4223
STREET_NAME
MCDOUGALD
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
16802001
CURRENT_STATUS
01
SITE_LOCATION
4223 MCDOUGALD BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Time In: 920 am <br /> Time Out: 9:48 am <br /> Pquin/ San Joaquin County <br /> a. 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.sigov.org/ehd <br /> �rFORN <br /> Food Program Official Inspection Report <br /> Name of Facility: MUSD-GREAT VALLEY ELEMENTARY SCHOOL Date: 05/04/2017 <br /> Address: 4223 MCDOUGALD BLVD, STOCKTON 95206 <br /> Owner/Operator: MANTECA UNIFIED SCHOOL DISTRICT Telephone: (209)825-3200 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Tracy Fells Expiration Date: November 02,2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Nor-lake(milk)--38.00°F Walk-in--41.00°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: Maria, Food Service <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0012233 PR0515583 SCO01 05/04/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />
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