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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y <br /> ttlir_ ' COUNTY— <br /> Greoln+eSs grows he, . Timeln: 11-15am <br /> Time Out: 11:43 am <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-SOUTH SCHOOL Date: 09/29/2022 <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 -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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Monique Bachelder Expiration Date:September 25,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> pizza-pepperoni-hot hold--131.00°F mac&cheese at line--155.00°F--155-163F range <br /> pizza-pepperoni-line--121.00°F 2 door Traulsen(B)--39.00°F <br /> Bev Air milk cooler--41.00°F 2 door True(A)--36.00°F <br /> 2 door True(C)--38.00°F True milk cooler--44.00°F--open for service <br /> pizza-cheese-line--134.00°F <br /> NOTES <br /> wiping cloth bucket 400 ppm Quat/test strips are available <br /> Food is received from Williams School/arrives around 9:30am <br /> Lunch service: 11a-12:30p <br /> No signature obtained <br /> Report typed up at the office 3:14p-3:21 p <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/kitchen staff, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0003247 PRO161695 SCO01 09/29/2022 <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 />