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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 1201pm <br /> Time Out: 12:27 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: Tracy USD-Central Elementary School Date: 09/20/2021 <br /> Address: 200 W EATON AVE,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: Suzanne Clark Expiration Date:January 24,2025 <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 /> pizza crunchers at line 131.00°F--time as a temperature 2 door reach-in right--41.00°F <br /> control <br /> 1 door Bev Air milk cooler(silver)--38.00°F corn dog at line--115.00°F--time as a temperature control <br /> corn dog at hot hold cabinet--143.00°F 1 door Bev Air milk cooler(white)--41.00°F <br /> 2 door reach-in left--41.00°F <br /> NOTES <br /> wiping cloth bucket 400 ppm Quat/test strips are available <br /> Food is transported from West High-arrives around 10am <br /> Lunch service time: 11:15am-12:15pm <br /> No signature obtained <br /> Report typed up at the office 3:38pm-3:43pm <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/Suzanne&Milane, FSW <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0002552 PRO161687 SCO01 09/20/2021 <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 />