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S �1J O� H� Q' i I N Environmental Health Department <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: Rosemary Varela Expiration Date:June 23,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 110°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Norlake cooler--Milk--38.00°F Hobart cooler--40.00°F <br /> Hand sink--Rest room--101.00°F 2 D California cooking cooler--43.00°F <br /> 2 D Cres Cor warmer--166.00°F Pasta with ground beef--165.00°F <br /> 2 D Metro warmer--147.00°F Bev Air cooler--Milk--41.00°F <br /> Norlake cooler--Milk--41.00°F <br /> NOTES <br /> QUAT sanitizer buckets were set up during my visit. <br /> Time log for salad bar is maintained. <br /> OIR emailed to pbrookens@stocktonusd.net; monicac@stocktonusd.net; 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 campis,Assistant kitchen ma <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0001675 PRO160901 SCO01 04/24/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />