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SA NUJ OAHU I N Environmental Health Department <br /> L■ COUNTY <br /> ^ r1 `p' Greo[Dess grows here, Time In: 1040 am <br /> Time Out: 11:13 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-FILLMORE SCHOOL Date: 03/06/2020 <br /> Address: 2644 E POPLAR ST, STOCKTON 95205 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7110 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION (Chargeable) <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: Surangnimala Kumar Expiration Date: May 06,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 124°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 101 IF <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Crescor Hot hold--178.00°F 2 Dr AdvantEdge cooler x2--41.00°F--381F-41 F. <br /> Steam table--181.00°F 2 Dr CA cooking cooler--37.00°F <br /> Crescor Roast-N-Hold--176.00°F Bev Air Milk cooler--40.00°F <br /> Chicken(steam table) -166.00°F Norlake milk cooler x2(cafeteria)--41.00°F--40F-41 F. <br /> NOTES <br /> Spring routine inspection. <br /> Observed no violations at this time. <br /> Previous reports and food certification on site. <br /> Lunch is brought from Gold Star food manufacturing and other types of food products are prepared on site. <br /> Lunch session: 11:30am- 1:30pm. <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: surangnimala Kumar, LFS 2 <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> FA0002020 PRO161938 SC101 03/06/2020 <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 />