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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> 7fa�p[r+85S growshere. Time In: 1028 am <br /> Time Out: 10:48 am <br /> Food Program Official Inspection Report <br /> Name of Facility: HUMPHREYS COLLEGE ACADEMY OF BUSINESS, LAW& EDUCATION Date: 09/05/2023 <br /> Address: 6504 PACIFIC AVE, STOCKTON 95207 <br /> Owner/Operator: HUMPHREYS COLLEGE ACADEMY OF BUSINESS, LAW& EDUCAT Telephone: <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION (Chargeable) <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 /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:Paper towels were lacking at the hand sink. Maintain paper towel dispenser stocked and in good working <br /> order at all times. This was corrected on site. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(0) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Maria Gonzalez Expiration Date:July 28,2027 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 104°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--staff restroom--116.00°F 2 door Blue Air cooler--41.00°F <br /> mop sink--121.00°F <br /> NOTES <br /> Routine chargeable inspection. No major violations. No re-inspection. <br /> ABLE Charter Elementary School. Facility gets pre-made/packaged meals delivered by Lunch Masters from San Carlos. <br /> Discussed report with Dou Thao(Manager). 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 /> FA0022811 PR0539880 SC101 09/05/2023 <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 />