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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Tl : 9 <br /> E"ram <br /> ^'•ti7F Opt�% Greotness grows here, <br /> Timee Out: 9::5959 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-ELMWOOD SCHOOL Date: 09/10/2019 <br /> Address: 840 S CARDINAL AVE, STOCKTON 95202 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7701 5 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Andrew Corr Expiration Date: November 04,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Walk in cooler--40.00°F Crescor Hot hold x2--154.00°F--154F-155F. <br /> Mop sink--121.00°F Bev Air milk cooler--39.00°F <br /> Norlake Milk cooler--36.00°F <br /> NOTES <br /> Fall routine inspection. <br /> Food is partially brought from Gold Star food manufacturing and other times it is prepared on site. <br /> Lunch consist of four sessions: 10:20am- 12:30pm. <br /> Observed no violations at this time. <br /> Official inspection report emailed. <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: Andrew Corr, Lead Food Service 2 <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> FA0002826 PRO160558 SCO01 09/10/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 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 />