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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HENRY LONG
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1600 - Food Program
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PR0521810
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/27/2022 9:35:13 AM
Creation date
4/11/2022 8:18:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0521810
PE
1632
FACILITY_ID
FA0014810
FACILITY_NAME
MUSD-GEORGE Y KOMURE ELEMENTARY
STREET_NUMBER
2121
STREET_NAME
HENRY LONG
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
16603022
CURRENT_STATUS
01
SITE_LOCATION
2121 HENRY LONG BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y <br /> ttlir_ ' COUNTY— <br /> Greol ens grows he, . . Time In: 12-02 pm <br /> Time Out: 12:25 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: MUSD-GEORGE Y KOMURE ELEMENTARY Date: 10/24/2022 <br /> Address: 2121 HENRY LONG BLVD, STOCKTON 95206 <br /> Owner/Operator: MANTECA UNIFIED SCHOOL DISTRICT Telephone: (209)825-3200 <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: Nancy Serrano Expiration Date:September 16,2026 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> restroom hand sink-- 100.00°F Bosco sticks-hot hold--119.00°F--Time as a temperature <br /> control <br /> 2 door Traulsen-right--39.00°F BBQ pork sandwich-hot hold--127.00°F--Time as a <br /> temperature control <br /> Norlake milk cooler-right--40.00°F walk-in cooler--36.00°F <br /> Norlake milk cooler-left--41.00°F 2 door Traulsen-left--41.00°F <br /> NOTES <br /> wiping cloth bucket 100 ppm Cl/Cl sanitizer test strips are available <br /> Food is received from Weston Ranch High School-arrives around 10:35a <br /> Lunch service 10:45a-12:15p <br /> No signature obtained <br /> Report typed in the office 2p-2:08p <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 /> FA0014810 PR0521810 SCO01 10/24/2022 <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 />
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