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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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PR0160357
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COMPLIANCE INFO_2022
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Last modified
9/27/2022 1:55:37 PM
Creation date
5/19/2022 1:59:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160357
PE
1632
FACILITY_ID
FA0002478
FACILITY_NAME
LUSD-MABEL BARRON ELEM
STREET_NUMBER
6835
STREET_NAME
CUMBERLAND
STREET_TYPE
PL
City
STOCKTON
Zip
95209
APN
09807006
CURRENT_STATUS
01
SITE_LOCATION
6835 CUMBERLAND PL
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SAN <br /> J O a Q U I N Environmental Health Department <br /> C0U ;N i y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: LUSD-MABEL BARRON ELEM, 6835 CUMBERLAND PL, STOCKTON 95209 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Cynthia Knight Expiration Date:September 02,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 103°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Prep sink 121.00°F Walk-in cooler--41.00°F <br /> Hand sink--Women's restroom--102.00°F Two door Crescor warmer--144.00°F <br /> Milk box--Serve line--41.00°F Milk box--Wall--41.00°F <br /> NOTES <br /> Routine inspection. No major violations identified.Time was given for correction of minor violations. No re-inspection. <br /> Discussed report with Monette(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 /> 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: LYDIA BAKER Phone: (209)616-3046 <br /> FA0002478 PRO160357 SCO01 09/19/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program OIR <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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