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is NJI I Environmental Health Department <br /> SAOAOIN <br /> COUNTY <br /> ¢ �f flCri SS fGw3 I1BfE. Time In: 11.32 am <br /> Op 0,,' Time Out: 11:57 am <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-KELLY SCHOOL Date: 09/14/2020 <br /> Address: 535 MABEL JOSEPHINE DR, 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: Michelle Hawk Expiration Date:January 27,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> True milk cooler--41.00°F chicken legs @ hot hold--132.00°F--facility uses time as a <br /> temperature control <br /> 2 door warmer--179.00°F potato wedges @ hot hold--136.00°F <br /> 8 door True--41.00°F <br /> NOTES <br /> wiping cloth bucket 400 ppm Quat/test strips available <br /> Food comes from Williams School/arrives around 10:15am <br /> Food distribution curbside daily from 1 1:30a-1 2:30pm <br /> Food is being distributed at the time of the inspection <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/Michelle Hawk, FSW <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-3420 <br /> FA0016514 PR0524605 SCO01 09/14/2020 <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 />