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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> .r{ � 7fa�pl r+fSS grows hire, Time In: 10.32 am <br /> Time Out: 10:53 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LUSD-VILLAGE OAKS HIGH SCHOOL Date: 09/19/2022 <br /> Address: 1900 W SWAIN RD, STOCKTON 95207 <br /> Owner/Operator: LINCOLN UNIFIED SCHOOL DIST Telephone: (209)953-8700 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit Reinspection on or after: 10/03/2022 <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 /> #7 Hot and Cold Holding Temperatures MAJOR <br /> OBSERVATIONS:The one door Traulsen reach-in cooler was observed at 53 F. Adjust unit to maintain 41 F or below. <br /> Correct today. Potentially hazardous food was removed from cooler. (REPEAT) <br /> CALCODE DESCRIPTION:Potentially hazardous foods shall be held at or below 41/45°F or at or above 135°F. (113996, 113998, <br /> 114037, 114343(a)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Susan Plinski Expiration Date:August 13,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 128°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 105°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Two door Crescor warmer-- 137.00°F Beverage Air milk box--Left side--40.00°F <br /> Beverage Air milk box--Right side--41.00°F One door Crescor warmer-- 158.00°F <br /> NOTES <br /> Routine inspection. One major violation identified. Re-inspection in two weeks. <br /> Food is delivered from The Huddle at Lincoln High School. Temperature logs are maintained. <br /> Discussed report with Susan Plinski (Kitchen Lead). Official inspection report was emailed to the operator. <br /> Maintain a copy of 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 /> RE-INSPECTION IN TWO WEEKS. <br /> FA0020281 PR0535094 SCO01 09/19/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 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 />