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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 10:42 am <br /> Time Out: 11:07 am <br /> Food Program Official Inspection Report <br /> Name of Facility: Tracy USD-Central Elementary School Date: 09/12/2023 <br /> Address: 200 W EATON AVE,TRACY 95376 <br /> Owner/Operator: TRACY UNIFIED SCHOOL DISTRICT Telephone: (209)830-3200 <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 /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:The water at the kitchen hand sink is 113-114F.The pedal operated sink has no means for tempering <br /> the water. Lower the water temperature to the range of 100-108F. Correct ASAP. <br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances,shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Josefina Hernandez Expiration Date:July 25,2028 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door Bev Air-right--41.00°F 2 door Bev Air-left--41.00°F <br /> restroom hand sink--100.00°F CresCor hot hold cabinet--150.00°F <br /> cheese pull aparts--164.00°F chicken tenders--143.00°F <br /> Bev Air milk cooler-white--39.00°F Bev Air milk cooler-silver--40.00°F <br /> NOTES <br /> wiping cloth bucket 400ppm Quat/Quat test strips are available <br /> Food comes from West High School-arrives around 9:45a <br /> Lunch is served 11:05a-12:45p <br /> No signature obtained <br /> Report typed in the office 2:25p-2:32p <br /> FA0002552 PRO161687 SCO01 09/12/2023 <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 />