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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0534839
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COMPLIANCE INFO_2022
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Last modified
4/7/2022 3:54:21 PM
Creation date
4/7/2022 3:53:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0534839
PE
1632
FACILITY_ID
FA0020149
FACILITY_NAME
SUSD-LANGSTON HUGHES ACADEMY
STREET_NUMBER
612
Direction
E
STREET_NAME
MAGNOLIA
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
13921008
CURRENT_STATUS
02
SITE_LOCATION
612 E MAGNOLIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Program Element: 1601 - FOOD PLAN CHECK <br />Telephone: (209) 403-7438 Requestor: CHRIS RASMUSSEN, GRUPE HUBER <br />Inspection Type: 523 - Plan Check/Report Review <br />Address: 612 E MAGNOLIA ST , STOCKTON 95202 <br />Date: 03/17/2022Name of Facility: <br />Food Program Service Request Inspection Report <br /> 2:10 pm <br /> 1:20 pm <br />Time Out: <br />Time In: <br />Request #: SR0083715 <br />Environmental Health Department <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br />N/A <br />Everest 2-door Cooler -- 41.00º F and Sink -- Women's Restroom -- 108.00º F <br />Mop Sink -- 120.00º F Hand Sink -- Men's Restroom -- 108.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Final Plan Check Inspection. <br />Verified construction and equipment to be in compliance with state laws and county ordinance codes. <br />Okay to issue permit. <br />Program Element: 1632 <br />Maintain a copy of the official inspection report on-site. <br />To minimize person-to-person contact, the signature of the person receiving the inspection report was not 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:Phone:(209) 561-8923 <br />, <br />CLAUDIA MURO <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br /> SR0083715 SC523 03/17/2022
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