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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y <br /> ttlir_ ' COUNTY— <br /> Greol:n+ess grows he, . Time In: 12.48 pm <br /> Time Out: 1:25 om <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-JOHN C KIMBALL HIGH SCH Date: 09/26/2023 <br /> Address: 3200 JAGUAR RUN , TRACY 95377 <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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:The large Hobart stand mixer and the attachments have food debris. Remove food debris,then clean <br /> and sanitize. Correct today. <br /> Per Lead,this piece of equipment is not in use. remove unnecessary equipment as needed. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Graziella Maroufkhani Expiration Date:June 05,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk-in cooler--39.00°F spicy chicken @ hot hold--157.00°F <br /> burrito @ Warmer#1 --137.00°F milk box 1 --40.00°F <br /> rice @ line--187.00°F mango habanero chicken @ line--184.00°F <br /> pepperoni pizza--177.00°F spicy chicken strips--153.00°F <br /> spicy chicken @ Warmer#3--137.00°F cheese french bread pizza @ line--171.00°F <br /> restroom hand sink--100.00°F milk box 2--40.00°F <br /> 3 door Traulsen--35.00°F mango habanero chicken @ hot hold--161.00°F <br /> burrito @ hot hold--162.00°F Warmer#5(air)--157.00°F <br /> NOTES <br /> FA0020092 PR0531201 SCO01 09/26/2023 <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 />