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is NJI I Environmental Health Department <br /> SAOAOIN <br /> COUNTY <br /> ¢ �f ,,Cri SS fGw3 I1BfE. Time In: 10.03 am <br /> Op 0,,' Time Out: 10:40 am <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-JOHN C KIMBALL HIGH SCH Date: 09/02/2020 <br /> Address: 3200 JAGUAR RUN , TRACY 95377 <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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:The deflector plate in the ice machine has some build-up. Clean and sanitize the deflector plate today. <br /> Corrected on site. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Graziella Maroufkhani Expiration Date:June 05,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door Traulsen freezer--17.00°F 3 door Traulsen reach-in--40.00°F <br /> restroom hand sink--100.00°F 2 comp prep sink--120.00°F <br /> walk-in freezer--3.00°F milk box#2--36.00°F <br /> walk-in cooler--39.00°F milk box#1 --33.00°F <br /> NOTES <br /> wiping cloth bucket 400 ppm Quat/test strips are available <br /> Lunch is served on site (curbside)from 11:30a-12:30p daily <br /> Food is prepped for this site only/food prep for lunch this date has not yet started at time of inspection <br /> Many units (refrigeration, hot hold cabinets, etc.)are not currently in use. <br /> No signature obtained/COVID-19 <br /> FA0020092 PR0531201 SCO01 09/02/2020 <br /> EHD 16-23 Rev.08/10/2020 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.sjgov.org/EHD <br />