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SAN J O A Q U I N Environmental Health Department <br /> Time In: 8:58 am <br /> Time Out: 9:30 am <br /> Food Program Service Request Inspection Report <br /> Name of Facility: KIPP STOCKTON MIDDLE SCHOOL Date: 11/09/2021 <br /> Address: 742 DALLAS AVE, STOCKTON 95206 <br /> Requestor: SCHOOLS W ACTION, KIPP STOCKTON MIDDLE SCHOOL Telephone: (323) 597-4341 <br /> Program Element: 1602 - FOOD CONSULTATION Request#: SR0083999 <br /> Inspection Type: 061 - CONSULTATION <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 foodbome 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 hot water at the 2 comp sink in the kitchen is 70F. Increase the hot water temperature to 120F <br /> (minimum).Correct ASAP. <br /> CALCODE DESCRIPTION:An adequate, protected, pressurized, potable supply of hot waterand cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(CI): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM --LOCATION --TEMP ° F --COMMENTS <br /> restroom hand sink-- 100.00° F 2 comp sink in kitchen-- 70.00° F <br /> milk at 2 door Economy--41.00° F 2 door Economy reach-in--44.00° F <br /> NOTES <br /> New facility consultation inspection <br /> OK to permit as a 1632 <br /> Food service began Aug 5, 2021 <br /> Kitchen is being built 1 a final inspection of the new kitchen shall be conducted prior to use. <br /> Food comes from"Better for You" - pre-packaged 1 pre-portioned (no utensil washing 1 disposibles): bagged in kitchen and <br /> carted over to classrooms <br /> Breakfast: 7:40am daily <br /> Lunch: Mon, Tues, Th & Fri at 10:51am (10:54 on Wed) <br /> Snack: daily 3:45pm <br /> No signature obtained <br /> SR0083999 SCO61 19109/2021 <br /> 116-23 Rev 09/1612020 Page 1 of 2 Food Program Service Request Inspection Report <br /> S <br />