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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLn@SS 5rws hemTimeln: 1:15pm <br /> Time Out: 1:43 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-MERRILL WEST HIGH SCHOOL Date: 10/20/2021 <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: INSPECTION/REINSPECTION (Chargeable) Reinspection on or after: 11/03/2021 <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 /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization MAJOR <br /> OBSERVATIONS:The dish machine is not reaching 160F(minimum)at the final rinse.The machine was run four times <br /> and 160F was not reached. <br /> 1st cycle: inspector's thermolabel did not black out <br /> 2nd cycle: inspector's thermolabel did not black out/probe thermometer temp 149F <br /> 3rd cycle: inspector's&facility's thermolabels did not black out/probe thermometer temp 147F <br /> 4th cycle: inspector's&facility's thermolabels did not black out/probe thermometer temp 147F <br /> Discontinue the use of the dish machine until it is repaired to provide hot water of 160F (minimum)at the final rinse. <br /> Use the manual warewashing method:wash, rinse, sanitize, air dry. <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized. (I 13984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101 (b-d), 114105, 114109, 114111, 114113, 114115(a, b, d), 114117, 114125(b), 114135, 114141) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> This is a re-inspection from the routine inspection conducted 10-8-21. <br /> Major violation remains.A 2nd re-inspection will occur in 2 weeks(on or after 11-3-21). <br /> No signature obtained <br /> Report typed at the office 4:24pm-4:33pm <br /> FA0012045 PR0515098 SC333 10/20/2021 <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 />