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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> 7fa�p[r+85S growshere. Time In: 9.49 am <br /> Time Out: 10:37 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-MARTIN LUTHER KING SCHOOL Date: 10/25/2021 <br /> Address: 2640 E LAFAYETTE ST, STOCKTON 95205 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7045 <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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:The hand sink in the staff restroom has no warm water. Provide 100- 108 F to ensure proper hand <br /> washing. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> 2111 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Cassie McGill Expiration Date:January 14,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 135°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 104°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 compartment sink--135.00°F Hand sink--104.00°F <br /> Carter hot hold--153.00°F Hand sink--Staff restroom--70.00°F <br /> Norlake reach-in cooler--41.00°F 2 door AdvantEdge--Kitchen--41.00°F <br /> 2 door Traulsen--40.00°F Prep sink--120.00°F <br /> Traulsen reach-in cooler--Cafeteria--41.00°F Bev Air reach-in cooler--Cafeteria--37.00°F-- <br /> Norlake reach-in cooler--Cafeteria--41.00°F <br /> NOTES <br /> Fall Routine Inspection. No major violations observed. <br /> Verified 5-year Food Manager Certificate during the inspection. Per manager,food is brought pre-packaged and prepared on <br /> site.Verified proper hot-holding temperatures. <br /> Official Inspection report emailed. <br /> FA0002017 PRO160561 SCO01 10/25/2021 <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 />