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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLn@SS 5rws hemTime In: 9.45 am <br /> Time Out: 10:12 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-MARSHALL SCHOOL Date: 10/12/2021 <br /> Address: 1141 LEVER BLVD, STOCKTON 95206 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7045 <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: Francoise Gibson Expiration Date:January 04,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 133°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Norlake milk cooler--40.00°F Norlake milk cooler--40.00°F <br /> Bev Air milk cooler--40.00°F restroom hand sink--100.00°F <br /> chicken tenders at hot hold--164.00°F pizza-out of oven--191.00°F <br /> 2 comp prep sink--121.00°F walk-in cooler--66.00°F--not storing any potentially hazardous <br /> food/a work order has been submitted <br /> NOTES <br /> wiping cloth bucket 400 ppm Quat/quat test strips are available <br /> Lunch is served 10:20am-12:05pm <br /> No signature obtained <br /> Report typed up at the office 3:58pm-4:07pm <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/Francoise Gibson, Lead <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0001259 PRO161189 SCO01 10/12/2021 <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 />