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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MT DIABLO
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1600 - Food Program
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PR0529192
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
9/27/2022 3:41:59 PM
Creation date
4/28/2022 9:12:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0529192
PE
1632
FACILITY_ID
FA0019460
FACILITY_NAME
YOUTH BUILDING
STREET_NUMBER
3100
STREET_NAME
MT DIABLO
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
13306003
CURRENT_STATUS
01
SITE_LOCATION
3100 MT DIABLO AVE
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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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 10-06 am <br /> •'C1FaR�;` Greotness grows here. <br /> Time Out: 10:42 am <br /> Food Program Official Inspection Report <br /> Name of Facility: YOUTH BUILDING Date: 04/27/2022 <br /> Address: 3100 MT DIABLO AVE, STOCKTON 95203 <br /> Owner/Operator: SJ CO OFFICE OF EDUCATION Telephone: (209)468-9061 <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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--men's staff restroom--100.00°F Traulsen milk cooler--cafeteria--40.00°F <br /> hand sink--women's staff restroom--100.00°F hand/mop sink--kitchen room--121.00°F <br /> NOTES <br /> Routine inspection. <br /> Facility serves prepackaged shelf stable food items and frozen food items for breakfast provided by SJC Office of Education. <br /> Students microwave the frozen food items. <br /> Facility serves hot and cold premade/packaged lunches provided by Lodi USD Central Kitchen. <br /> Lysol wipes are used to sanitize surfaces, it was 400 ppm quat. <br /> Discussed report with Carline Wagner, Student Services Nutrition Specialist. <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 /> FA0019460 PR0529192 SC101 04/27/2022 <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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