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Environmental Health Department <br />Time In: <br /> 1:25 pm <br />12:35 pm <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 933-7045 Owner/Operator: STOCKTON UNIFIED SCHOOL DIST <br />Inspection Type: ROUTINE INSPECTION (Chargeable) <br />Address: 2644 E POPLAR ST, STOCKTON 95205 <br />Date: 10/28/2021Name of Facility: SUSD-FILLMORE SCHOOL <br />Food Program Official Inspection Report <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 300 <br /> 135 <br /> 108 <br />Deborah Jones January 14, 2024 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Hand Sink -- 108.00º F Advant Edge 2 Door Cooler #2 -- 41.00º F <br />Traulsen Reach-in Cooler #1 -- Cafeteria -- 41.00º F Traulsen Reach-in Cooler #2 -- Cafeteria -- 41.00º F <br />East Bay Reach-in Cooler -- Cafeteria -- 41.00º F Advant Edge 2 Door Cooler #1 -- 41.00º F <br />3 Compartment Ware Sink -- 135.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Fall Routine Inspection. No violations observed. Re-inspection is not required. <br />Verified 5 - year Food Manager Certificate during the inspection. Verified proper hot and cold holding temperatures. <br />Official Inspection report was emailed to food manager. <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: <br />EH Specialist:Phone:(209) 561-8923 <br />Emailed to Food Manager, <br />CLAUDIA MURO <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0002020 PR0161938 SC101 10/28/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD