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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0518631
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COMPLIANCE INFO_2022
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Last modified
11/1/2022 12:46:55 PM
Creation date
3/28/2022 10:53:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0518631
PE
1632
FACILITY_ID
FA0014021
FACILITY_NAME
TOM HAWKINS SCHOOL KITCHEN
STREET_NUMBER
475
STREET_NAME
DARLENE
STREET_TYPE
LN
City
TRACY
Zip
95377
APN
24827047
CURRENT_STATUS
01
SITE_LOCATION
475 DARLENE LN
P_LOCATION
99
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 />Time In: <br />12:58 pm <br />12:25 pm <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 836-3388 Owner/Operator: JEFFERSON SCHOOL DIST <br />Inspection Type: ROUTINE INSPECTION (Chargeable) <br />Address: 475 DARLENE LN, TRACY 95377 <br />Date: 03/22/2022Name of Facility: TOM HAWKINS SCHOOL KITCHEN <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 /> 50 129 <br /> 100 <br />Barbara Leval April 14, 2023 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />tamales -- 136.00º F True milk cooler -- 36.00º F <br />2 door Turbo Air -- 31.00º F walk-in -- 36.00º F <br />restroom hand sink -- 100.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />wiping cloth bucket 200 ppm Cl / Cl sanitizer test strips are available <br />Food is prepped on site (no transport) <br />Lunch service 11:05a-1:10p <br />No signature obtained <br />Report typed up at the office 4:23p-4:28p <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) 616-3025 <br />discussed w/ Barbara Leval, <br />KADEANNE LINHARES <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0014021 PR0518631 SC101 03/22/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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