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is NJI I Environmental Health Department <br /> SAOAOIN <br /> COUNTY <br /> ¢ �f flCri SS fGw3 I1BfE. Time In: 1045 am <br /> Op 0,,' Time Out: 11:40 am <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-MERRILL WEST HIGH SCHOOL Date: 09/02/2020 <br /> Address: 1775 W LOWELL AVE, TRACY 95376 <br /> Owner/Operator: TRACY UNIFIED SCHOOL DISTRICT Telephone: (209)830-3200 <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: Cinthya Matasol Expiration Date:October 22,2023 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door Continental-middle(no food this date)--41.00°F 1 comp sink--120.00°F <br /> large walk-in cooler--33.00°F fish sticks-hot hold--155.00°F <br /> 3 door True freezer--15.00°F 1 door Continental-left(no food this date)--38.00°F <br /> fish sticks-out of oven--205.00°F snack bar Cambro hot hold cabinet-air temp--153.00°F <br /> 1 door Continental-right(no food this date)--41.00°F walk-in freezer--9.00°F <br /> small walk-in cooler--40.00°F restroom hand sink--100.00°F--women's(men's was occupied) <br /> NOTES <br /> wiping cloth bucket 400 ppm Quat/test strips are available <br /> Lunch is served on site from 11:30a-12:30p daily in the breezeway <br /> Food is prepped on site and transported out to: North, Central, McKinley, Jacobson &Freiler(leaves @ 9am for these sites) <br /> No signature obtained/COVID-19 <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: Discussed w/Tricia Mathis, Food Svc <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-3420 <br /> FA0012045 PR0515098 SCO01 09/02/2020 <br /> EHD 16-23 Rev.08/10/2020 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.sjgov.org/EHD <br />