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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> t.. v•:v COUNTY <br /> 7fep[r+85S grows here. Time In: <br /> Time Out: <br /> Food Program Official Inspection Report <br /> Name of Facility: LINDEN USD-WAVERLY SCHOOL Date: 10/28/2021 <br /> Address: 3507 WILMARTH RD, STOCKTON 95215 <br /> Owner/Operator: LINDEN UNIFIED SCHOOL DISTRICT Telephone: (209)887-3894 <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 /> #7 Hot and Cold Holding Temperatures <br /> OBSERVATIONS:Per janitor,the mop sink has no hot water. Provide 120 F or more by November 15, 2021. <br /> CALCODE DESCRIPTION:Potentially hazardous foods shall be held at or below 41/45°F or at or above 135°F. (113996, 113998, <br /> 114037, 114343(a)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Erin Walsh Expiration Date:July 10,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 133°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 compartment ware sink--133.00°F Hand sink--108.00°F <br /> Traulsen 3-door cooler--41.00°F True reach-in cooler--41.00°F <br /> Cres Cor hot hold--150.00°F <br /> NOTES <br /> Fall Routine Inspection. No major violations observed.Time was given for the observed minor violation. Re-inspection is not <br /> required. <br /> Verified 5-year Food Manager Certificate during the inspection. Verified proper hot and cold holding temperatures. <br /> Official Inspection report emailed. <br /> Maintain a copy of the official inspection 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: Emailed to food manager, <br /> EH Specialist: CLAUDIA MURO Phone: (209)561-8923 <br /> FA0002202 PRO161853 SCO01 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 />