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COMPLIANCE INFO_2023
EnvironmentalHealth
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1600 - Food Program
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PR0160226
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COMPLIANCE INFO_2023
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Last modified
3/15/2023 7:43:23 AM
Creation date
3/15/2023 7:42:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0160226
PE
1632
FACILITY_ID
FA0001296
FACILITY_NAME
LUSD-HS ANNEX-CULINARY KITCH
STREET_NUMBER
6776
STREET_NAME
ALEXANDRIA
STREET_TYPE
PL
City
STOCKTON
Zip
95207
APN
09711018
CURRENT_STATUS
01
SITE_LOCATION
6776 ALEXANDRIA PL
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 />12:45 pm <br />12:19 pm <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: 6776 ALEXANDRIA PL, STOCKTON 95207 <br />Date: 03/08/2023Name of Facility: LUSD-HS ANNEX-CULINARY KITCH <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 />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 /> 50 126 <br /> 100 <br />Anna Monnich November 16, 2026 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Two door True cooler -- Left side -- 41.00º F Prep sink -- 120.00º F <br />Two door True cooler -- Right side -- 36.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. No violations. No re-inspection. <br />Discussed inspection report with Anna Monnich (Teacher). Official inspection report was emailed to operator. <br />Maintain copy of 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:Phone:(209) 616-3046 <br />, <br />LYDIA BAKER <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0001296 PR0160226 SC001 03/08/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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