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�l � � �A� I I�1ISI Environmental Health Department <br /> `— Fel <br /> t.. v•:v COUNTY <br /> 7fa�p[�+855 grows here. Timeln: 1:15pm <br /> Time Out: 1:51 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-PULLIAM SCHOOL Date: 09/04/2020 <br /> Address: 230 PRESIDIO WAY, STOCKTON 95207 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7110 <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;113700.All <br /> violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health and have the <br /> potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Monica Campis Valdez Expiration Date: March 16,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °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 /> 3-Compartment Sink--Kitchen--120.00°F Mop Sink--120.00°F <br /> Traulsen Cooler/Milk--Cafeteria--41.00°F 1-Compartment Sink--Kitchen--120.00°F <br /> Norlake Cooler#1 #2/Milk--Cafeteria--41.00°F 1-Door Traulsen Cooler--Kitchen--41.00°F <br /> Hand Sink--Kitchen--100.00°F Hand Sink--Restroom--100.00°F <br /> NOTES <br /> Routine inspection conducted this date,the following observations were noted: <br /> Test strips available on site. <br /> Prepackaged food only; no cooking activity on site due to COVID-19. <br /> No violations noted. <br /> Inspection report was discussed with Monica Campis Valdez, Manager. <br /> Maintain a copy of this inspection report on site. <br /> Inspection report will be e-mailed to facility. <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 Safety <br /> Code.If a reinspection <br /> nis�required,fees will be assessed at the current hourly rate. <br /> Vc <br /> Received by: Name and Title: Monica Campis Valdez, Manager <br /> EH Specialist: STEVEN SHIH Phone: (209)468-3420 <br /> FA0001675 PRO160901 SCO01 09/04/2020 <br /> EHD 16-23 Rev.08/10/2020 Page 1 of 1 Food Program OIR <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 />