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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: 1050 am <br /> Time Out: 11:40 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-VALENTINE PEYTON SCHOOL Date: 11/02/2021 <br /> Address: 2525 GOLD BROOK DR, STOCKTON 95205 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7045 <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: Tangela Shipp Expiration Date: December 10,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Traulsen milk cooler--cafeteria,right--41.00°F open reach-in cooler--kitchen--41.00°F <br /> steam table--kitchen--169.00°F 2 dr True--kitchen, right--41.00°F <br /> Traulsen milk cooler--cafeteria,left--41.00°F hand sink--staff restroom--100.00°F <br /> 2 dr Aquatemp warmer--kitchen--150.00°F 2 dr True kitchen, left--35.00°F <br /> prep sink--120.00°F walk-in--40.00°F <br /> 2 dr Crescor warmer--kitchen--142.00°F <br /> NOTES <br /> Routine inspection. <br /> Facility serves hot and cold meals on site. Breakfast is from 7:50-8:15 AM and lunch is from 10:20 AM- 12:47 PM. <br /> Currently facility is only heating up premade food. <br /> Facility receives premade food items from Goldstar. <br /> Facility receives produce from DOD, ProPacific, and Daylight. <br /> Facility receives bread from Bimbo. <br /> All utensils are disposable. <br /> Sanitizer bucket-200 ppm quat. <br /> Quat test strips available. <br /> Discussed report with Tangle Shipp. <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 /> FA0020189 PR0534911 SC101 11/02/2021 <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 />