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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 here. Timeln: 1110am <br /> Time Out: 11:50 am <br /> Food Program Official Inspection Report <br /> Name of Facility: ASPIRE BENJAMIN HOLT MIDDLE SCHOOL Date: 10/19/2021 <br /> Address: 3293 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 -Operating Permit <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 /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization <br /> OBSERVATIONS:Observed peroxide container connected to sanitizer dispenser for 3 comp sink. Use approved sanitizer <br /> for sanitizing utensils/equipment. Correct immediately. Corrected on site,the quat container was connected to the dispenser <br /> and provided 200 ppm quat. Per Victoria the wrong bottle was connected by accident. <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized. (I 13984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101 (b-d), 114105, 114109, 114111, 114113, 114115(a, b, d), 114117, 114125(b), 114135, 114141) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Victoria Gomez Expiration Date:July 24,2024 <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 /> 2 dr True cooler--kitchen--37.00°F hand sink--restroom--100.00°F <br /> True milk cooler--kitchen--41.00°F 3 comp sink--120.00°F <br /> Metro C5 warmer--kitchen,right--167.00°F hand sink--kitchen--100.00°F <br /> NOTES <br /> FA0013774 PR0518240 SCO01 10/19/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 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 />