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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ <br /> COUNTY— <br /> Time In: <br /> OUNTYTlmeln: 10: <br /> E"ram <br /> ^'•ti7F Opt�� Greotness grows here. <br /> Time Out: 11:1919am <br /> Food Program Official Inspection Report <br /> Name of Facility: LINDEN USD-WATERLOO ELEMENTARY Date: 10/19/2018 <br /> Address: 7007 N PEZZI RD, STOCKTON 95215 <br /> Owner/Operator: LINDEN UNIFIED SCHOOL DISTRICT Telephone: (209)887-3894 <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 /> #8 Use of Time as a Public Health Control <br /> OBSERVATIONS:Time log for salad bar and hot food is not maintained. Provide today. <br /> CALCODE DESCRIPTION:When time only,rather than time and temperature is used as a public health control,records and <br /> documentation must be maintained(114000) <br /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:Right side employee rest room, in the office, is lacking self close device. Provide in 1 week. <br /> CALCODE DESCRIPTION:Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br /> well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br /> facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in <br /> establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Amber Kissee Expiration Date: November 16,2021 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 145°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 115°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 D Traulsen cooler--40.00°F True cooler Milk--Dining--39.00°F <br /> Sweet corn--Steam table--176.00°F 1 comp sink--120.00°F <br /> Hand sink--Rest room--102.00°F 1 D Cres Cor warmer--161.00°F <br /> NOTES <br /> Sanitizer bucket is set up with Chlorine 100 ppm. <br /> OIR emailed to hbrand@sjcoe.net <br /> FA0002499 PRO161971 SCO01 10/19/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />