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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0508316
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COMPLIANCE INFO_2020
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Last modified
9/9/2020 7:59:35 AM
Creation date
9/4/2020 3:56:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0508316
PE
1632
FACILITY_ID
FA0008028
FACILITY_NAME
SUSD-RIO CALAVERAS ELEMENTARY
STREET_NUMBER
1819
STREET_NAME
BIANCHI
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
09603027
CURRENT_STATUS
01
SITE_LOCATION
1819 BIANCHI RD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
JCastaneda
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EHD - Public
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�l � � �A� I I�1ISI Environmental Health Department <br /> `— Fel <br /> L.. v•:v COUNTY <br /> C1 � Vfa�pt�+fSS grows hire. Timeln: 11-10am <br /> Time Out: 11:49 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-RIO CALAVERAS ELEMENTARY Date: 09/04/2020 <br /> Address: 1819 BIANCHI RD, 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;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: Yolanda Martinez Expiration Date:April 15,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand Sink#1 #2--Restroom-Male-- 100.00°F Hand Sink--Kitchen--100.00°F <br /> Prep Sink--Kitchen--120.00°F Hand Sink#1 #2#3--Restroom-Female--100.00°F <br /> 2-Compartment Sink--Kitchen--120.00°F Traulsen/Milk--Cafteria/Right--41.00°F <br /> Traulsen/Milk--Cafeteria--41.00°F Walk-In Cooler--Kitchen--41.00°F <br /> Beverage Air/Milk--Cafeteria/Left--41.00°F 2-Door Traulsen--Kitchen--41.00°F <br /> 3-Compartment Sink--Kitchen--120.00°F <br /> NOTES <br /> Routine inspection conducted this date,the following observations were noted: <br /> 200 ppm Quaternary Ammonia observed in the sanitizer bucket. <br /> Test strips observed 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 Tangela Shipp, 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 is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Tangela Shipp, Manager <br /> EH Specialist: STEVEN SHIH Phone: (209)468-3420 <br /> FA0008028 PR0508316 SC101 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 />
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