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S A N J a A Q U I N Environmental Health Department <br /> COUNTY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: LUSD-COLONIAL HEIGHTS, 8135 BALBOA AVE, STOCKTON 95209 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Cynthia Tom Expiration Date: March 19,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 99°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door uprightr refrigerator(L)--41.00°F hand sink--kitchen--99.00°F <br /> milkbox#1 --41.00°F 2 door upright refrigerator(L)--41.00°F <br /> milkbox#2--41.00°F 3 comp--120.00°F <br /> rib sandwich--warmer cabinet--135.00°F <br /> NOTES <br /> Signature not captured due to COVID <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: Linda Garcia, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0002778 PRO160358 SC101 04/19/2021 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />