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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 937 am <br /> Time Out: 10:15 am <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-MERRILL WEST HIGH SCHOOL Date: 03/18/2021 <br /> Address: 1775 W LOWELL 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 (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 /> #23 Rodents, Insects or Animals Inside Facility <br /> OBSERVATIONS:Two dried rodent droppings were observed on the floor of the small dry goods storage room. Clean up <br /> droppings, sanitize the area and continue current pest control preventative measures. <br /> CALCODE DESCRIPTION:Each food facility shall be kept free of vermin:rodents(rats,mice), cockroaches,flies.(114259.1, 114259.4, <br /> 114259.5) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Tricia Mathis Expiration Date:January 24,2025 <br /> Warewash Chlorine(Cl): ppm Heat: 170°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 /> 1 door Continental-left--38.00°F--no milk/food this date chicken nuggets-out of the oven--176.00°F <br /> large walk-in--39.00°F small walk-in--39.00°F <br /> 1 door Continental-middle--32.00°F--no milk/food this date CresCor hot hold cabinet--157.00°F <br /> 1 door Continental-right--40.00°F--no milk/food this date snack bar Cayuga--35.00°F <br /> NOTES <br /> wiping cloth bucket 400 ppm Quat/Quat test strips are available <br /> Food prepped on site/food is transported to: North, Central, McKinley, Jacobson, and Freiler(transport leaves @ 9:15am) <br /> Food is being distributed from 11:30-2pm at the cafeteria snack bar <br /> No signature obtained/COVID-19 <br /> Report typed at the office 3:44-3:55pm <br /> FA0012045 PR0515098 SC101 03/18/2021 <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 />