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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160224
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
9/26/2023 12:42:40 PM
Creation date
4/26/2023 4:18:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0160224
PE
1632
FACILITY_ID
FA0003057
FACILITY_NAME
LUSD-TULLY C KNOLES SCH
STREET_NUMBER
6511
STREET_NAME
CLARKSBURG
STREET_TYPE
PL
City
STOCKTON
Zip
95207
APN
09749001
CURRENT_STATUS
01
SITE_LOCATION
6511 CLARKSBURG PL
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> .r{ � Vfept�+fSS grows here. Time In: 10:12 am <br /> Time Out: 10:45 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LUSD-TULLY C KNOLES SCH Date: 04/25/2023 <br /> Address: 6511 CLARKSBURG 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 (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 /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Ceiling was observed damaged due to a leak near the three compartment sink. Repair ceiling so that it <br /> is smooth, cleanable and non-absorbent within one month. <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth,durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Veronica Cruz Expiration Date:September 02,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 101 OF <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Back--103.00°F Prep sink 120.00°F <br /> Walk-in cooler--32.00°F Mop sink 120.00°F <br /> True milk box--Kitchen--41.00°F Two door Crescor warmer--Left--135.00°F <br /> Two door Crescor warmer--Right--138.00°F True milk box--Cafeteria--40.00°F <br /> NOTES <br /> Routine chargeable inspection. No major violations.Time given for correction of minor violations. No re-inspection. <br /> Discussed inspection report with Veronica Cruz(Kitchen Lead). Official inspection report was emailed to operator. <br /> Maintain copy of inspection report on site. <br /> To minimize person-to-person contact,the signature of the person receiving the inspection report was not captured. <br /> FA0003057 PRO160224 SC101 04/25/2023 <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 />
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