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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. Timeln: 9-15am <br /> Time Out: 10:00 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-MARTIN LUTHER KING SCHOOL Date: 09/19/2023 <br /> Address: 2640 E LAFAYETTE 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 -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: Cassie McGill Expiration Date:January 14,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 128°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Norlake reach in cooler--Cafeteria--41.00°F Carter Hoffmann hot holding#2--Kitchen--175.00°F <br /> Carter Hoffmann hot holding#1 --Kitchen--168.00°F Hand sink hot water--Staff restroom--100.00°F <br /> Traulsen 2-dr upright cooler--36.00°F Norlake reach in cooler-currently empty--Cafeteria--41.00°F <br /> Norlake reach in cooler--Dry Storage area--41.00°F Norlake 2-dr upright cooler--41.00°F <br /> Traulsen reach in cooler--Cafeteria--39.00°F <br /> NOTES <br /> No violations. <br /> Sanitizer and test strips on site. <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 /> 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: CLAUDIA MURO Phone: (209)561-8923 <br /> FA0002017 PRO160561 SCO01 09/19/2023 <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 />