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COMPLIANCE INFO_2022
EnvironmentalHealth
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1600 - Food Program
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PR0160237
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COMPLIANCE INFO_2022
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Last modified
9/27/2022 10:56:56 AM
Creation date
9/27/2022 10:54:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160237
PE
1632
FACILITY_ID
FA0001654
FACILITY_NAME
LUSD-JOHN R WILLIAMS
STREET_NUMBER
2450
STREET_NAME
MEADOW
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
07743001
CURRENT_STATUS
01
SITE_LOCATION
2450 MEADOW AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Time In: <br />10:18 am <br /> 9:45 am <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 953-8700 Owner/Operator: LINCOLN UNIFIED SCHOOL DIST <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 2450 MEADOW AVE, STOCKTON 95207 <br />Date: 09/14/2022Name of Facility: LUSD-JOHN R WILLIAMS <br />Food Program Official Inspection Report <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 back hand sink in the kitchen was observed at 113 F. Provide warm water at 100-108 F at <br />non-adjustable faucets. Correct today. (REPEAT) <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 121 <br /> 101 <br />Joan Gonzalez September 22, 2025 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />True milk box -- Kitchen -- 41.00º F Mop sink -- 120.00º F <br />Prep sink -- 122.00º F True milk box -- Serve line -- 40.00º F <br />Crescor warmer -- Right side -- 148.00º F Hand sink -- Restroom -- 113.00º F <br />Walk-in cooler -- 41.00º F Crescor warmer -- Left side -- 135.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. No major violations identified. Time was given for correction of minor violations. No re-inspection. <br />Discussed report with Joan Gonzalez (Kitchen staff). Official inspection report was emailed to the operator. <br />Maintain a copy of official inspection report on-site. <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:Phone:(209) 616-3046 <br />, <br />LYDIA BAKER <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0001654 PR0160237 SC001 09/14/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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