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Environmental Health Department <br />Time In: <br /> 1:00 pm <br />12:25 pm <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 838-3591 Owner/Operator: ESCALON UNIFIED SCHOOL DISTRIC <br />Inspection Type: ROUTINE INSPECTION (Chargeable) <br />Address: 21051 E HWY 120 , ESCALON 95320 <br />Date: 04/14/2021Name of Facility: EUSD-VAN ALLEN SCHOOL <br />Food Program Official Inspection Report <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 /> #41 Plumbing Maintained; Approved Back Flow Device <br />OBSERVATIONS: I observe water leakage from the cold handle of the hand sink when turning on the water. Fix leakage in <br />1 week. <br />CALCODE DESCRIPTION: The potable water supply shall be protected with a backflow or back siphonage protection device, as required <br />by applicable plumbing codes. (114192) All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br />ordinances, shall be maintained so as to prevent any contamination, and shall be kept clean, fully operative, and in good repair. Any hose <br />used for conveying potable water shall be of approved materials, labeled, properly stored, and used for no other purpose. (114171, <br />114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 121 <br /> 112 <br />Cindy Davis July 17, 2022 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Prep sink -- 126.00º F Mop sink -- 121.00º F <br />Hand sink -- Rest room -- 101.00º F 2 D Traulsen cooler -- 36.00º F <br />Milk Box -- Dining -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Chlorine test strips are available on site. <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:Phone:(209) 616-3052 <br />, <br />GEHANE FAHMY <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0000355 PR0161696 SC101 04/14/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD