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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 920 am <br /> •'C1FaR�;` Greotness grows here. <br /> Time Out: 9:55 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LUSD-JOHN R WILLIAMS Date: 09/15/2020 <br /> Address: 2450 MEADOW AVE, STOCKTON 95207 <br /> Owner/Operator: LINCOLN UNIFIED SCHOOL DIST Telephone: (209)953-8700 <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: Naomi A Herrera Expiration Date:August 02,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 133°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> true--kitchen--37.00°F walk in--kitchen--38.00°F <br /> NOTES <br /> No Violations <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: Joan Gonzalez, Cook Manager I <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)468-3420 <br /> FA0001654 PRO160237 SCO01 09/15/2020 <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 />