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Time In: 11:22 am <br /> Time Out: 11:52 am <br /> 0P4 �N. San Joaquin County <br /> Environmental Health Department <br /> N: X <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �•., �; Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sogov.org/ehd <br /> q�jFORe+ <br /> Food Program Official Inspection Report <br /> Name of Facility: JEFFERSON ESD-ANTHONY TRAINA SCHOOL Date: 10/08/2015 <br /> Address: 4256 WINDSONG ,TRACY 95377 <br /> Owner/Operator: JEFFERSON SCHOOL DIST Telephone. (209) 836-3388 <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 /> #33 Nonfood Contact Surfaces Clean <br /> OBSERVATIONS: Painted shelf has build-up. Repeat violation. Clean as needed. <br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c)) <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS: Faucet at 3-comp sink has a drip at the stem. Repair leak in 1 week. <br /> CALCODE DESCRIPTION: The potable water supply shall be protected with a backflow or back siphonage protection device, as required <br /> by applicable plumbing codes.(114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances, shall be maintained so as to prevent any contamination, and shall be kept clean, fully operative, and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials, labeled, properly stored, and used for no other purpose. (114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Laurina Rocha Expiration Date:April 25,2018 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 140°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> Orange Chicken-- 135.00° F Turbo-air(2-door)--41.00°F <br /> Warmer-- 144.00°F Warmer-- 154.00°F <br /> Walk-in 41.00°F <br /> NOTES <br /> D/W-50ppm chlorine <br /> FA0017975 PR0526557 SCO01 10/08/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OIR <br />