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hry l r.°'* SA N�10AQ X11 N Environmental Health Department <br /> U- COUNTY- <br /> ' `' Greotness grows hare. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: SUSD-STAGG HIGH SCHOOL, 1621 BROOKSIDE RD , STOCKTON 95207 <br /> #47 Signs Posted; Last Inspection Report Available <br /> OBSERVATIONS: Post SB 180 at serve line and hand wash sign in employee rest room <br /> CALCODE DESCRIPTION:Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br /> hands after using the restroom(1 1395a5)(b)No smoking signs shall be posted in food preparation, food storage, warewashing, and <br /> utensil storage areas(113978).(c) Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br /> such as salad bars and buffets. (d)Any food facility constructed before January 1, 2004, without public toilet facilities, shall prominently <br /> post a sign within the food facility in a public area stating that toilet facilities are not provided(113725.1, 114381(e)). Proper posting of <br /> nutritional information at facilities with 20 or more chains in California(114094). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 125°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> walk in--kitchen--41.00°F <br /> NOTES <br /> Ok to re-open kitchen once conditions are met <br /> Equipment: 6 hand sinks, heat/chemical dish washer, 3 comp sink, 2 comp prep sink, (2) prep sinks, mop sink, rest room sink, <br /> can wash room, Bradford White water heater 100 gallons 250,000 BTU <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: JAW Name and Title: Ann Haley, Child Nutrition Operation: <br /> EH Specialist: MARI BEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0001719 SR0080906 SC523 12/23/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />