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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 939 am <br /> Time Out: 10:10 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-TAYLOR SCHOOL Date: 05/06/2021 <br /> Address: 1101 LEVER BLVD, STOCKTON 95206 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7110 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Myrna Gomez Expiration Date:April 15,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> milk cooler-left unit--41.00°F 2 door True--41.00°F <br /> Norlake milk cooler-right unit--41.00°F 2 door CA Cooking-right unit--41.00°F <br /> 2 door CA Cooking-left unit--41.00°F <br /> NOTES <br /> wiping cloth bucket 400 ppm Quat/Quat test strips are available <br /> Food is served 10:20a through 2:20pm <br /> Food served is pre-packaged/pre-bagged/all cold or frozen (no hot or re-heated food) <br /> Food is handed to students outside of the cafeteria/no students eating inside of the cafeteria <br /> No signature obtained/COVID-19 <br /> Report typed up at the office 1:29-1:40p <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: Discussed w/Ebony Rainey, Lead II <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0001163 PRO161361 SCO01 05/06/2021 <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 />