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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLIS@SSfwS hemTime In: 10.21 am <br /> Time Out: 10:58 am <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-MERRILL WEST HIGH SCHOOL Date: 03/28/2022 <br /> Address: 1775 W LOWELL AVE, 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: Tricia Mathis Expiration Date:January 24,2025 <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 /> Tornados @ hot hold--162.00°F large walk-in cooler--39.00°F <br /> restroom hand sinks(men's&women's)--100.00°F hand sink @ Snack Shack--100.00°F <br /> chili @ hot hold--161.00°F small walk-in cooler--38.00°F <br /> Continental milk coolers(x3)--41.00°F--left,middle&right:all mini cheeseburgers- 158.00°F <br /> 41F <br /> burritos @ hot hold--159.00°F Snack Shack Cayuga reach-in--41.00°F <br /> NOTES <br /> wiping cloth bucket:400 ppm Quat <br /> Lunch is served 11:10-11:45am <br /> Facility preps and transports food out to the following Tracy USD school sites: Duncan Russell/Stein, Frieler, North, Central, <br /> McKinley, &Jacobson/transport leaves around 8:45am) <br /> The dishmachine is not in use/will be replaced soon (Champion Model 66 ordered 2-15-22) <br /> Facility is using the manual warewash method:wash-rinse-sanitize-air dry <br /> The addition of a 3-comp sink may be required at remodel <br /> No signature obtained <br /> Report typed up at the office 3:48pm-3:58pm <br /> FA0012045 PR0515098 SC101 03/28/2022 <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 />