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Environmental Health Department <br />Time In: <br />12:30 pm <br />11:45 am <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 836-3388 Owner/Operator: JEFFERSON SCHOOL DIST <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 475 DARLENE LN, TRACY 95377 <br />Date: 10/11/2022Name of Facility: TOM HAWKINS SCHOOL KITCHEN <br />Reinspection on or after: 10/25/2022 <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 /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization MAJOR <br />OBSERVATIONS: MAJOR: The dish machine is not dispensing sanitizer at the final rinse (ran the machine 3 times: less <br />than 10 ppm each time). <br />All ware washing shall occur at the 3-comp sink using the manual warewash procedure: wash, rinse, sanitize (100ppm Cl or <br />200 ppm Quat minimum), air dry until the dish machine measures 50ppm Cl (minimum) at the final rinse. <br />3-comp sink: 100ppm Cl <br />***Provide a photo of correction after the dish machine has been serviced / repaired or by 2 weeks or a re-inspection will <br />take place. <br />CALCODE DESCRIPTION: All food contact surfaces of utensils and equipment shall be clean and sanitized. (113984(e), 114097, <br />114099.1, 114099.4, 114099.6, 114101 (b-d), 114105, 114109, 114111, 114113, 114115 (a, b, d), 114117, 114125(b), 114135, 114141) <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 /> 0 133 <br /> 100 <br />Barbara Leval April 14, 2023 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />walk-in cooler -- 39.00º F cheesy bread sticks - hot hold -- 146.00º F <br />2 door Turbo Air -- 35.00º F restroom hand sink -- 100.00º F <br />cheesy bread sticks - line -- 144.00º F True milk cooler -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Page 1 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0014021 PR0518631 SC001 10/11/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD