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r I �,r Environmental Health Department <br /> SANJOAQUCUfT I� <br /> Greotne55 grows here Time In: 10.40 am <br /> Time Out: 11:57 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-MARTIN LUTHER KING SCHOOL Date: 09/14/2022 <br /> Address: 2640 E LAFAYETTE ST, STOCKTON 95205 <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: Cassie McGill Expiration Date:January 14,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 123°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Norlake reach in cooler--Cafeteria--41.00°F Norlake reach in cooler-milk only--Cafeteria--45.00°F <br /> Norlake reach in cooler--Cafeteria--39.00°F Traulsen reach in cooler--Cafeteria--40.00°F <br /> Traulsen 2-dr cooler--35.00°F Advantedge 2-dr cooler--41.00°F <br /> Mop sink--123.00°F Carter Hoffmann hot hole--150.00°F <br /> Carter Hoffmann hot hold--145.00°F <br /> NOTES <br /> Fall routine inspection. No violations observed today. Official inspection report was emailed to facility. <br /> Maintain a copy of the most current 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: CLAUDIA MURO Phone: (209)561-8923 <br /> FA0002017 PRO160561 SCO01 09/14/2022 <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 />