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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MABEL JOSEPHINE
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1600 - Food Program
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PR0524605
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
9/27/2022 4:24:11 PM
Creation date
3/21/2022 11:48:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0524605
PE
1632
FACILITY_ID
FA0016514
FACILITY_NAME
TRACY USD-KELLY SCHOOL
STREET_NUMBER
535
STREET_NAME
MABEL JOSEPHINE
STREET_TYPE
DR
City
TRACY
Zip
95376
APN
24007016
CURRENT_STATUS
01
SITE_LOCATION
535 MABEL JOSEPHINE DR
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y <br /> ttlir_ ' COUNTY— <br /> Greoln@SS grows he, Time In: 11.30 am <br /> Time Out: 11:50 am <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-KELLY SCHOOL Date: 03/17/2022 <br /> Address: 535 MABEL JOSEPHINE DR, TRACY 95376 <br /> Owner/Operator: TRACY UNIFIED SCHOOL DISTRICT Telephone: (209)830-3200 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION (Chargeable) <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: Jamie Green Expiration Date:June 05,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> service line air temperature-- 145.00°F 8 door True--37.00°F <br /> 4 door True hot hold cabinet--136.00°F orange chicken&rice at hot hold--121.00°F--time as a <br /> temperature control <br /> True milk cooler--41.00°F french bread pizza at hot hmld--142.00°F <br /> NOTES <br /> wiping cloth bucket 400 ppm Quat/Quat sanitizer test strips are available(QT-10) <br /> Food is delivered from Williams School (around 10am) <br /> Lunch service: 11:30a-12:30p <br /> No signature obtained <br /> Report typed up in the office 4:21 p-4:27p <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/Jamie Green, FSW <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0016514 PR0524605 SC101 03/17/2022 <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 />
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