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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 10.42 am <br /> Time Out: 11:01 am <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-SOUTH SCHOOL Date: 09/30/2021 <br /> Address: 500 MONTE DIABLO RD,TRACY 95376 <br /> Owner/Operator: TRACY UNIFIED SCHOOL DISTRICT Telephone: (209)830-3200 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Sonia Zamora Expiration Date:July 16,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door Traulsen(B)--37.00°F Bev Air milk cooler--40.00°F <br /> True milk cooler"A"--41.00°F 2 door True(C)--36.00°F <br /> pepperoni pizza--146.00°F cheese pizza--140.00°F <br /> 2 door True(A)--36.00°F <br /> NOTES <br /> wiping cloth buckets 200ppm Quat/quat sanitizer test strips are available <br /> Today is pizza day/Dominos Pizza <br /> Food on other days comes from Williams School/arrives around 10am <br /> Lunch service is 11am-12:30pm <br /> No signature obtained <br /> Report typed up at the office 1:59pm-2:06pm <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: Discussed w/Sonia Zamora, FSW <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0003247 PRO161695 SCO01 09/30/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 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 />