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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: SUSD-PULLIAM SCHOOL, 230 PRESIDIO WAY, STOCKTON 95207 <br /> #44 Premises: Clean/Litter Free;Vermin-Proof <br /> OBSERVATIONS:Right side vent window near floor level in dry storage missing screen. Provide screen to vermin proof <br /> facility in 1 week. <br /> CALCODE DESCRIPTION: The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof. (114067 6), 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Rosemary Varela Expiration Date:June 23,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 131 °F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Be Air MilkBox(air)--40.00°F Norlake MilkBox(air)empty--50.00°F <br /> mop--123.00°F 2D Metro--137.00°F <br /> 2D California Cooking(air)--41.00°F salad--salad bar--56.00°F <br /> Hobart--38.00°F Norlake MilkBox(air)--45.00°F <br /> RR--100.00°F cut red bell pepper--salad bar--61.00°F <br /> NOTES <br /> Routine 101 <br /> Notes: <br /> -Billable time includes time spent at front office(30 minutes)waiting for administration to provide clearance and access. <br /> -Time control only is used for salad bar. Time log is maintained. <br /> OIR emailed to Peter Brookens, 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: monica varela,fsa2 <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0001675 PRO160901 SC334 09/12/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />