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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 12.00 pm <br /> •'C1FaR�;` Greotness grows here. <br /> Time Out: 12:40 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-SPECIAL EDUCATION YOUNG ADULTS PROGRAM Date: 09/13/2022 <br /> Address: 1541 E MARCH LN, STOCKTON 95205 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DISTRICT Telephone: <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: Rudy Yciano Expiration Date: February 12,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 101 IF <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--staff restroom-- 106.00°F 2 dr Crescor warmer--kitchen/cafeteria--152.00°F <br /> hand sink--kitchen/cafeteria--101.00°F 1 dr California Cooking--kitchen/cafeteria--41.00°F <br /> NOTES <br /> Routine inspection. <br /> Sanitizer spray-400 ppm quat. <br /> No warewash sink at this facility, utensils are sent back to Cesar Chavez High School for warewashing. <br /> Facility serves cold breakfast and hot/cold lunches. <br /> Facility receives premade/packaged food items from Cesar Chavez High School daily at around 10 AM. <br /> Facility is serviced monthly by Clark Pest Control. <br /> Discussed report with Rudy Yciano. <br /> No signature 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: <br /> EH Specialist: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0024379 PR0542424 SCO01 09/13/2022 <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 />