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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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PR0160568
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COMPLIANCE INFO_2022
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Last modified
10/5/2022 9:22:24 AM
Creation date
6/21/2022 12:42:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160568
PE
1632
FACILITY_ID
FA0002065
FACILITY_NAME
SUSD-COMMODORE STOCKTON SKILLS
STREET_NUMBER
2725
STREET_NAME
MICHIGAN
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
10936005
CURRENT_STATUS
01
SITE_LOCATION
2725 MICHIGAN AVE
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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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 here. Time In: 10:43 am <br /> Time Out: 11:16 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-COMMODORE STOCKTON SKILLS Date: 09/22/2022 <br /> Address: 2725 MICHIGAN 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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:The nonadjustable hand sink next to the prep sink was observed at 110 F. Adjust the hand wash sink <br /> water temperature to maintain 100- 108 F as it is a non-adjustable faucet. Correct today. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> #23 Rodents, Insects or Animals Inside Facility <br /> OBSERVATIONS:Dead cockroaches were observed under the shelves in the dry storage room. Clean and sanitize area <br /> and increase pest control as necessary. <br /> CALCODE DESCRIPTION:Each food facility shall be kept free of vermin:rodents(rats,mice), cockroaches,flies.(114259.1, 114259.4, <br /> 114259.5) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Acencion Fregoso Expiration Date: December 08,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Walk-in cooler--38.00°F Norlake milk box--Serve line--39.00°F <br /> Mop sink--133.00°F Norlake milk box- Kitchen--39.00°F <br /> Beverage Air milk box--41.00°F Crescor two door warmer--152.00°F <br /> Hand sink--Restroom--100.00°F <br /> NOTES <br /> FA0002065 PRO160568 SCO01 09/22/2022 <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 />
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