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SAN <br /> J O A Q U I t , Environmental Health Department <br /> Food Program Official Inspection Report <br /> Facility Name and Address: KIPP STOCKTON MIDDLE SCHOOL, 742 DALLAS AVE, STOCKTON 95206 <br /> Lunch served at 10:51a (Wed minimum day: 10:54a) <br /> All pre-packaged/pre-portioned food-no warewashing <br /> Food comes from Better 4 You Meals-arrives around 8-9a(transport/production logs are maintained &receiving <br /> temperatures are taken) <br /> Food Handler Card for Veronica Goodman-Bustle: expires 7-28-2024 <br /> No signature obtained <br /> Report typed up at the office 4:09p-4:21 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/Jessica Miranda, Direct <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0026857 PR0547287 SCO01 03/30/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program OIR <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 />