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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLn@SS 5rws hemTime In: 1043 am <br /> Time Out: 11:11 am <br /> Food Program Official Inspection Report <br /> Name of Facility: NEW JERUSALEM SCHOOL Date: 10/12/2021 <br /> Address: 31400 S KOSTER RD, TRACY 95376 <br /> Owner/Operator: NEW JERUSALEM SCHOOL Telephone: <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: Jennifer Morelos Expiration Date: March 09,2025 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> restroom hand sinks--100.00°F 2 door True--34.00°F <br /> Bev Air milk cooler-left--40.00°F Bev Air milk cooler-right--41.00°F <br /> True milk cooler--37.00°F 2 door Blue Air--41.00°F <br /> taquitos-reheated temp--155.00°F taquitos at hot hold--135.00°F <br /> 2 door Arctic Air--41.00°F Crescor hot hold cabinet--190.00°F <br /> NOTES <br /> wiping cloth bucket 200 ppm Cl/Cl test strips are available <br /> Lunch is bagged and delivered to classrooms 10:55am-12:25pm (students are not eating in the cafeteria at this time) <br /> No signature obtained <br /> Report typed up at the office 4:17pm-4:24pm <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/Jennifer Morelos, Lead <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0002994 PRO161691 SCO01 10/12/2021 <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 />