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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 8.50 am <br /> •'C1FaR�;` Greotness grows here. <br /> Time Out: 9:24 am <br /> Food Program Official Inspection Report <br /> Name of Facility: VINCENT SHAVLEY ACADEMY Date: 10/28/2021 <br /> Address: 10038 N HWY 99 , STOCKTON 95212 <br /> Owner/Operator: ASPIRE PUBLIC SCHOOL Telephone: (209)944-5590 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: COMPLIANCE REVIEW-Office Activity Reinspection on or after: <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: Amanda Ibarra Expiration Date: December 10,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--staff restroom-- 100.00°F 2 dr Crescor warmer--cafeteria--150.00°F <br /> 2 dr True cooler--kitchen area--41.00°F <br /> NOTES <br /> Routine inspection. <br /> All food items are premade/packaged and delivered by Lodi Unified School District Central Kitchen daily,food is kept <br /> warm/cool if necessary until they are served for lunch. <br /> Facility serves lunch from 11:30 AM - 12:45 PM. <br /> Currently cafeteria is only used to disperse food and student eat either outside or in classrooms. <br /> All utensils are disposable and no warewashing occurs on site. <br /> Spray bottle with quat used to sanitize surface, the solution was 200 ppm. <br /> Quat test strips available on site. <br /> Report discussed with Amanda Ibarra. <br /> No signature captured. <br /> Maintain a copy of this report 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: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0012248 PR0515610 SC011 10/28/2021 <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 />