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rA �J�AQUIN Environmental Health Department <br /> COUNTY <br /> Time In: 10.00 am <br /> •'C1FaRrti`. Greotness grows here. <br /> Time Out: 10:30 am <br /> Food Program Official Inspection Report <br /> Name of Facility: HUMPHREYS COLLEGE ACADEMY OF BUSINESS, LAW& EDUCATION Date: 10/01/2020 <br /> Address: 6504 PACIFIC AVE, STOCKTON 95207 <br /> Owner/Operator: HUMPHREYS COLLEGE ACADEMY OF BUSINESS, LAW& EDUCAT Telephone: <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; <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: Erika Smith Expiration Date:January 18,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 122°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> water--rest rooms-- 120.00°F water--mop sink--120.00°F <br /> NOTES <br /> No Violations <br /> Students not currently on campus due to COVID-19 <br /> Drive thru meals are picked up at Middle school M-F <br /> Refrigerators are currently at Middle School <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: Dou Thao, staff <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)616-3051 <br /> FA0022811 PR0539880 SC101 10/01/2020 <br /> EHD 16-23 Rev.09/16/2020 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 />