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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HENRY LONG
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1600 - Food Program
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PR0521810
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/20/2021 10:14:35 AM
Creation date
3/31/2021 10:28:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0521810
PE
1632
FACILITY_ID
FA0014810
FACILITY_NAME
MUSD-GEORGE Y KOMURE ELEMENTARY
STREET_NUMBER
2121
STREET_NAME
HENRY LONG
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
16603022
CURRENT_STATUS
01
SITE_LOCATION
2121 HENRY LONG BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SSfwS hemTimeln: 9-18am <br /> Time Out: 9:41 am <br /> Food Program Official Inspection Report <br /> Name of Facility: MUSD-GEORGE Y KOMURE ELEMENTARY Date: 03/30/2021 <br /> Address: 2121 HENRY LONG BLVD, STOCKTON 95206 <br /> Owner/Operator: MANTECA UNIFIED SCHOOL DISTRICT Telephone: (209)825-3200 <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 /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:The toilet room door is not self closing. Install a self-closing device on the toilet room door by 2 weeks. <br /> CALCODE DESCRIPTION:Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br /> well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br /> facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in <br /> establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Margarita Barron Expiration Date:October 11,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °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 /> Norlake milk cooler-kitchen--40.00°F Norlake milk cooler-Multi Purpose Room--41.00°F <br /> walk-in cooler--38.00°F 2 door Traulsen-right--41.00°F <br /> 2 door Traulsen-left--41.00°F <br /> NOTES <br /> wiping cloth bucket 200 ppm Cl/Cl test strips are available <br /> Food is distributed starting at 10:30am <br /> Hot food is prepped/re-heated on site(no transport) <br /> No signature obtained/COVID-19 <br /> Report typed up at the office 1:31-1:37pm <br /> FA0014810 PR0521810 SC101 03/30/2021 <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 />
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