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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> t.. v•:v COUNTY <br /> 7fa�p[r+85S growshere. Time In: 1-40I� <br /> Time Out: 2:15 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: LUSD-LINCOLN HIGH SCHOOL Date: 09/07/2023 <br /> Address: 6844 ALEXANDRIA PL, STOCKTON 95207 <br /> Owner/Operator: LINCOLN UNIFIED SCHOOL DIST Telephone: (209)953-8700 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Rebecca Jones Expiration Date:August 02,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 127°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> One door True display cooler--Front kitchen--41.00°F One door Trualsen cooler--40.00°F <br /> Hand sink--Restroom--113.00°F One door True display cooler--Back kitchen--41.00°F <br /> Two door True upright cooler--41.00°F Mop sink--120.00°F <br /> Beverage Air milk box#2--41.00°F True milk box--40.00°F <br /> Beverage Air milk box#1 --41.00°F <br /> NOTES <br /> The Huddle. <br /> Routine inspection. No violations observed. No re-inspection. <br /> 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 /> 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: LYDIA BAKER Phone: (209)616-3046 <br /> FA0002482 PR0527612 SCO01 09/07/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 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 />