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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> 7fa�p[r+85S grows hire. Timeln: 11-10am <br /> Time Out: 12:00 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-HAMILTON SCHOOL Date: 04/14/2021 <br /> Address: 2245 E ELEVENTH ST, STOCKTON 95206 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7110 <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: Kimberly Cissna Expiration Date: February 12,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Norlake milk cooler#2--Kitchen--39.00°F Norlake milk cooler#1 --Kitchen--41.00°F <br /> Mop sink--121.00°F Traulsen milk cooler--Kitchen--41.00°F <br /> Walk-in cooler--41.00°F Traulsen milk cooler--Cafeteria--41.00°F <br /> Norlake milk cooler--Cafeteria--40.00°F <br /> NOTES <br /> Spring routine inspection. <br /> Facility currently dispenses food for families every Wednesday from 10:30am- 12:30pm. <br /> The food items are ordered from Goldstar foods and Daylight produce. Produce items are brought every Tuesday and frozen <br /> food items are delivered Thursday, in which they are prepackaged for the families. Dairy products are brought in on <br /> Tuesday/Wednesday for this facility. <br /> The food items distributed are shelf-stable,frozen and refrigerated. <br /> All utensils given are disposable, no ware-washing occurs on site. <br /> There are currently not students on site 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: Fincis Saavedra, Food Service II <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0001619 PRO161530 SC101 04/14/2021 <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 />