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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> 7fa�p[r+85S growshere. Time In: 8:50 am <br /> Time Out: 9:48 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-VALENTINE PEYTON SCHOOL Date: 03/22/2022 <br /> Address: 2525 GOLD BROOK DR, STOCKTON 95205 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7045 <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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Observed water inside walk-in cooler back light shield and observed ice inside walk-in freezer back light <br /> shield. Clean within 1 week and repair as necessary. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Tangela Shipp Expiration Date: December 10,2024 <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 /> walk-in cooler--38.00°F Traulsen milk cooler--cafeteria(L)--40.00°F <br /> steam table--204.00°F Traulsen milk cooler--cafeteria(R)--41.00°F <br /> 2 dr Crescor warmer--near steam table--142.00°F 2 dr True--kitchen(L)--41.00°F <br /> 2 dr True kitchen(R)--41.00°F 2 dr Crescor warmer--near prep table--155.00°F <br /> hand sink- staff restroom--100.00°F prep sink--120.00°F <br /> NOTES <br /> Routine inspection. <br /> Facility serves hot and cold meals on site. Breakfast is from 7:50-8:15 AM and lunch is from 10:20 AM- 12:47 PM. <br /> Currently facility is only heating up premade food. <br /> Facility receives premade food items from Goldstar. <br /> Facility receives bread from Bimbo, milk from Crystal, and produce from DOD, ProPacific, and Daylight. <br /> All utensils for meals are disposable. <br /> The Norlake milk cooler was turned off during the inspection. <br /> Sanitizer buckets-200 ppm quat. <br /> Quat test strips available. <br /> Discussed report with Tangela Shipp. <br /> No signature captured. <br /> FA0020189 PR0534911 SCO01 03/22/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 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 />