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SAN J O A Q U I Environmental Health Department <br /> Food Program Official Inspection Report <br /> Facility Name and Address: SUSD-FILLMORE SCHOOL, 2644 E POPLAR ST, STOCKTON 95205 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Surangnimala Kumar Expiration Date: December 08,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 124°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Traulsen reach in cooler--Cafeteria--41.00°F Traulsen reach in cooler--Cafeteria--41.00°F <br /> Roast N Hold hot hold--143.00°F Advantedge 2-dr cooler--41.00°F <br /> AdvantEdge 2-dr cooler--38.00°F <br /> NOTES <br /> Routine Inspection. No major violations observed.Time given for correction of minor violations. Re-inspection is not required. <br /> Official inspection report was emailed to facility. <br /> Maintain a copy of the most current inspection report on-site. <br /> To minimize person-to-person contact,the signature of the person receiving the inspection report was not captured. <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: Surangnimala Kumar, Kitchen Lead <br /> EH Specialist: CLAUDIA MURO Phone: (209)561-8923 <br /> FA0002020 PRO161938 SC101 09/13/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program OIR <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 />