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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 /> Facility Name and Address: SUSD-PULLIAM SCHOOL, 230 PRESIDIO WAY, STOCKTON 95207 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Yvonne Monica Campis De Varela Expiration Date:June 30,2019 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 100°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 122°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door Hobart--kitchen--40.00°F 3 comp sink--kitchen--100.00°F <br /> employee restroom sink--restroom--104.00°F 2 door Creslor--kitchen--181.00°F <br /> 3 door CA Cooking--kitchen--40.00°F milk box--dining room--41.00°F <br /> mopsink--janitorial room--113.00°F coleslaw--salad bar--51.00°F <br /> milk--kitchen--32.00°F handwash sink--kitchen--122.00°F <br /> garbanzo beans--salad bar--59.00°F salad--salad bar--54.00°F <br /> NOTES <br /> Sanitizer bucket 200 ppm quat <br /> Note: Food at salad bar is time control only: ensure food is disposed within 4 hours. <br /> OIR emailed to Peter Brookens,ymigliori@stocktonusd.net, monicaC@stocktonusd.net, and rvarela@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: rosemary varela, Ifs2 <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0001675 PRO160901 SCO01 03/17/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />