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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 10.06 am <br /> Time Out: 10:30 am <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-SOUTH SCHOOL Date: 03/22/2022 <br /> Address: 500 MONTE DIABLO RD,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: Sonia Zamora Expiration Date:July 16,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Bev Air milk cooler--39.00°F chicken tenders @ hot hold--144.00°F--2 hot hold cabinets: <br /> 144-153F <br /> 1 comp prep sink--122.00°F grilled cheese @ hot hold--157.00°F--2 hot hold cabinets: <br /> 157-163F <br /> 2 door Traulsen(B)--38.00°F 2 door True(C)--29.00°F <br /> french fries @ hot hold--151.00°F True milk cooler A--37.00°F <br /> 2 door True(A)--36.00°F <br /> NOTES <br /> wiping cloth buckets 200 ppm Quat <br /> Food is received from Williams School/is on site when staff arrives <br /> Lunch service 11:00a-12:30p <br /> No signature obtained <br /> Report typed up at the office 3:59p-4:06p <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/Julces&Mattie, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0003247 PRO161695 SC101 03/22/2022 <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 />