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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y <br /> ttlir_ ' COUNTY— <br /> GreolneSS grows he, Time In: 10:52 am <br /> Time Out: 11:16 am <br /> Food Program Official Inspection Report <br /> Name of Facility: JEFFERSON ESD-MONTICELLO ELEM Date: 10/05/2021 <br /> Address: 1001 CAMBRIDGE AVE, TRACY 95376 <br /> Owner/Operator: JEFFERSON SCHOOL DIST Telephone: (209)836-3388 <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 /> #7 Hot and Cold Holding Temperatures <br /> OBSERVATIONS:The 2 door Turbo Air is 45F. Reduce the temperature of this unit to 41 F or below. Correct today. <br /> Re-checked unit temperature:46F(unit turned down on site). <br /> CALCODE DESCRIPTION:Potentially hazardous foods shall be held at or below 41/45°F or at or above 135°F. (113996, 113998, <br /> 114037, 114343(a)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Voranoun Hardesty Expiration Date:October 15,2024 <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 127°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> True milk cooler--41.00°F 2 door Turbo Air--45.00°F--re-checked:46F(unit turned down <br /> on site). <br /> 2 door Norlake--33.00°F mini chesseburgers--171.00°F <br /> 4 door Hobart--41.00°F <br /> NOTES <br /> wiping cloth bucket 100 ppm Cl/sanitizer test strips are available <br /> Lunch is served 10:55am- 1:10pm <br /> Food is prepped on site/no transport <br /> No signature obtained <br /> Report typed up at the office 3:35pm-3:40pm <br /> FA0003095 PRO163307 SCO01 10/05/2021 <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 />