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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> .r{ � 7fa�p[r+85S grows hire, Time In: 10.05 am <br /> Time Out: 10:40 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-HOOVER SCHOOL Date: 09/22/2022 <br /> Address: 2900 KIRK AVE, STOCKTON 95204 <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: Stella Mendez Expiration Date: December 10,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 128°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 134°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Two door Traulsen reach-in cooler Across from Traulsen freezer Two door Crescor warmer--135.00°F <br /> --41.00°F <br /> Norlake milk box--Under bulletin board--41.00°F Prep sink--121.00°F <br /> Traulsen milk box--41.00°F Hobart three door reach-in cooler--39.00°F <br /> Hand sink--Restroom--104.00°F Norlake milk box--Serve line--41.00°F <br /> Two door Traulsen reach-in cooler--Adjacent to Traulsen freezer <br /> --41.00°F <br /> NOTES <br /> Routine inspection. No violations identified. No re-inspection. <br /> Discussed report with Stella Mendez(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 /> FA0002086 PRO160560 SCO01 09/22/2022 <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 />