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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 1059 am <br /> Time Out: 11:22 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LAMMERSVILLE SCHOOL Date: 09/27/2021 <br /> Address: 16555 VON SOSTEN RD, TRACY 95376 <br /> Owner/Operator: LAMMERSVILLE UNIFIED SCHOOL DIST Telephone: (209)836-7400 <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: Angela Martinez Expiration Date:August 11,2025 <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 145°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> C5 hot hold cabinet--142.00°F beef dunkers--122.00°F--facility uses time as a temperature <br /> control <br /> True milk cooler--40.00°F restroom hand sink--100.00°F <br /> walk-in--40.00°F <br /> NOTES <br /> wiping cloth buckets 400 ppm Quat/quat and chlorine test strips available <br /> Lunch is served 11:35am-12:45pm <br /> No signature obtained <br /> Report typed at the office 12:21 pm-12:30pm <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: <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0002952 PRO161532 SCO01 09/27/2021 <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 />