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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> .r{ � 7fa�p[r+85S grows hire, Time In: 10.30 am <br /> Time Out: 11:21 am <br /> Food Program Official Inspection Report <br /> Name of Facility: BENJAMIN HOLT COLLEGE PREP ACADEMY Date: 04/06/2021 <br /> Address: 3201 E MORADA LN, STOCKTON 95212 <br /> Owner/Operator: ASPIRE PUBLIC SCHOOL Telephone: (209)944-5590 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Melinda Niles Expiration Date:January 24,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Beverage Milk cooler--Benjamin Holt Middle Cafeteria--41.00°F 2 Dr True cooler--Benjamin Holt Middle Cafeteria--39.00°F <br /> NOTES <br /> Spring routine inspection. <br /> -The facility is currently operating from Benjamin Holt Middle cafeteria, not from inside of the multipurpose room of BHCPA. <br /> -All food items are brought from Lodi Unified School District every Monday morning. Milk is brought for the facility on Friday <br /> the week prior. <br /> -The meals for the families are dispensed every Monday from 10:00am to 12:00pm. <br /> -All perishable items are brought refrigerated the same day as it is dispensed and kept in refrigerated coolers or insulated <br /> bags until dispensed. <br /> -No ware-washing occurs on site at this time. <br /> The facility will be inviting students to return to campus on April 19, 2021. During this time the facility will be dispensing cold <br /> lunches to the students Monday, Tuesday,Thursday and Friday. <br /> Observed no violations at this time. <br /> Official inspection report emailed. <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: Melinda Niles, Cafeteria Manager <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0016449 PR0524528 SC101 04/06/2021 <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 />