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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> 7fa�p[r+85S grows here. Time In: 9:50 am <br /> Time Out: 10:35 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LUSD-SIERRA MIDDLE SCHOOL Date: 03/17/2021 <br /> Address: 6768 ALEXANDRIA PL, STOCKTON 95207 <br /> Owner/Operator: LINCOLN UNIFIED SCHOOL DIST Telephone: (209)953-8700 <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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:The true cooler in lunch room is not properly working. Display is on constant defrost and temperature is <br /> at 50 F(it is currently empty). Repair or replace by 1 week. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> #39 Thermometers Provided/Accurate/Easily Visible <br /> OBSERVATIONS:The 2 door traulsen in the kitchen at serve line and the true cooler with milk in the lunch room-exterior <br /> display thermometers are not working. Repair/replace by 2 weeks. <br /> The 2 door traulsen cooler in the kitchen at serve line lacks internal thermometer. Provide by 1-5 days. <br /> CALCODE DESCRIPTION:An accurate easily readable metal probe thermometer suitable for measuring temperature of food shall be <br /> available to the food handler. A thermometer+/-2#F shall be provided for each hot and cold holding unit of potentially hazardous foods <br /> and high temperature warewashing machines. (114157, 114159) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Pamela Thomas Expiration Date:August 09,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 125°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door cooler--side room--41.00°F 2 door traulsen -kitchen -36.00°F <br /> 2 door traulsen--side room--39.00°F 2 door traulsen--kitchen--39.00°F <br /> 2 door victory--side room with produce--47.00°F true(empty)--lunch room close to kitchen--50.00°F <br /> true--lunch room--41.00°F <br /> NOTES <br /> No comment entered. <br /> FA0006818 PR0505501 SC101 03/17/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 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 />