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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0523445
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COMPLIANCE INFO_2021
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Last modified
9/16/2021 1:38:06 PM
Creation date
3/10/2021 4:33:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0523445
PE
1632
FACILITY_ID
FA0015846
FACILITY_NAME
SUSD-KOHL SCHOOL
STREET_NUMBER
4115
Direction
N
STREET_NAME
CROWN
City
STOCKTON
Zip
952076909
APN
11019007
CURRENT_STATUS
01
SITE_LOCATION
4115 N CROWN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Time In: <br /> 9:20 am <br /> 8:50 am <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 933-7045 Owner/Operator: STOCKTON UNIFIED SCHOOL DIST <br />Inspection Type: ROUTINE INSPECTION (Chargeable) <br />Address: 4115 N CROWN , STOCKTON 952076909 <br />Date: 09/13/2021Name of Facility: SUSD-KOHL SCHOOL <br />Food Program Official Inspection Report <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 /> #43 Toilet Facilites Clean/ Supplied/ Maintained <br />OBSERVATIONS: Rest rooms in employee lounge lack hot water of at least 100 F. Provide immediately (repeat violation). <br />CALCODE DESCRIPTION: Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br />well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br />facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons: in <br />establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <br /> #45 Floors, Walls, Ceilings; Clean and Maintained <br />OBSERVATIONS: Saw debris on floors and some cobwebs on walls/under 3 comp sink. Clean weekly or more often if <br />needed. <br />CALCODE DESCRIPTION: The walls / ceilings shall have durable, smooth, nonabsorbent, light-colored, and washable surfaces. All floor <br />surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br />cleanable. Approved base coving shall be provided in all areas, except customer service areas and where food is stored in original <br />unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143 (d), <br />114266, 114268, 114268.1, 114271, 114272) <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 400 <br /> 126 <br /> 120 <br />Sophia Vargas January 12, 2026 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />2 door traulsen -- kitchen -- 35.00º F 1 door CA -- kitchen -- 39.00º F <br />norlake -- lunch room -- 34.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />No comment entered. <br />Page 1 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0015846 PR0523445 SC101 09/13/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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