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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 9.10 am <br /> •'C1FaR�;` Greotness grows here. <br /> Time Out: 9:56 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-JOHN ADAMS SCHOOL Date: 04/13/2022 <br /> Address: 6402 INGLEWOOD AVE, STOCKTON 95207 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7045 <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: Carrie Haflich Expiration Date:January 14,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 128°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> True mik cooler--kitchen--38.00°F 3 dr CA Cooking--kitchen--41.00°F <br /> 2 dr Crescor warmer--kitchen--170.00°F 2 dr CA Cooking--kitchen--41.00°F <br /> Traulsen milk cooler--cafeteria--41.00°F 2 dr Victory--kitchen--40.00°F <br /> Norlake milk cooler--kitchen--38.00°F counter warmer--kitchen--170.00°F <br /> NOTES <br /> Routine inspection. <br /> Sanitizer bucket-200 ppm quat. <br /> Quat test strips available. <br /> Facility is serviced by Clark Pest Control monthly. <br /> The Carter Hoffman warmer was turned off during the inspection. <br /> Discussed report with Carrie Haflich. <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 /> FA0002403 PRO160894 SCO01 04/13/2022 <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 />