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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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PR0539880
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COMPLIANCE INFO_2021
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Last modified
9/16/2021 10:46:18 AM
Creation date
3/19/2021 11:31:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0539880
PE
1632
FACILITY_ID
FA0022811
FACILITY_NAME
HUMPHREYS COLLEGE ACADEMY OF BUSINESS, LAW & EDUCATION
STREET_NUMBER
6504
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
6504 PACIFIC AVE
P_LOCATION
01
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 /> 9:00 am <br /> 8:30 am <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: Owner/Operator: HUMPHREYS COLLEGE ACADEMY OF BUSINESS, LAW & EDUCAT <br />Inspection Type: ROUTINE INSPECTION (Chargeable) <br />Address: 6504 PACIFIC AVE, STOCKTON 95207 <br />Date: 09/08/2021Name of Facility: HUMPHREYS COLLEGE ACADEMY OF BUSINESS, LAW & EDUCATION <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 />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 /> 200 120 <br />Dou Thao September 30, 2025 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />blue air -- lunch room -- 41.00º F water -- mop sink -- 120.00º F <br />water -- rest rooms -- 120.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Elementary School <br />No Violations <br />All meals come from Lunch Masters (San Leandro) <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: <br />EH Specialist:Phone:(209) 616-3051 <br />Dou Thao, staff <br />MARIBEL FLOHRSCHUTZ <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0022811 PR0539880 SC101 09/08/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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