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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> 7fa�p[r+85S grows here. Time In: 924 am <br /> Time Out: 10:00 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-FILLMORE SCHOOL Date: 09/27/2023 <br /> Address: 2644 E POPLAR ST, STOCKTON 95205 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7000 <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 /> #7 Hot and Cold Holding Temperatures <br /> OBSERVATIONS:The following unit for cold storage of Potentially Hazardous Foods(PHFs)was observed over the <br /> required temperature of 41 F: <br /> -California Cooking upright cooler was observed at 44 F <br /> Adjust/repair unit to maintain all PHFs at 41 F or below. Correct today. <br /> CALCODE DESCRIPTION:Potentially hazardous foods shall be held at or below 41/45°F or at or above 135°F. (113996, 113998, <br /> 114037, 114343(a)) <br /> OVERA <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Surangnimala Kumar Expiration Date: December 08,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> AdvantEdge 2-dr upright cooler--Kitchen rear--41.00°F AdvantEdge 2-dr upright cooler--Kitchen--41.00°F <br /> Reach in cooler--Cafeteria--41.00°F California Cooking upright cooler--Cafeteria--44.00°F <br /> Traulsen reach in cooler-#2--Cafeteria 40.00°F Aquatemps hot holding cabinet--176.00°F <br /> Traulsen reach in cooler-#1 --Cafeteria 40.00°F <br /> NOTES <br /> No major violations. <br /> Print and maintain a copy of the most current inspection report on-site. <br /> Note: The signature of the person receiving the inspection report was not captured during the inspection. <br /> FA0002020 PRO161938 SC101 09/27/2023 <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 />