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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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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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SJGOV\ymoreno
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EHD - Public
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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 10-45 am <br /> •'C1FaR�;` Greotness grows here. <br /> Time Out: 11:13 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LUSD-TULLY C KNOLES SCH Date: 09/14/2023 <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 -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: Helen Naylor Expiration Date: March 16,2028 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°IF--COMMENTS <br /> Mop sink-- 120.00°F Two door Crescor warmer--Left--144.00°F <br /> Hand sink--Back--100.00°F True milk box--Kitchen--41.00°F <br /> Two door Crescor warmer--Right--143.00°F Prep sink--120.00°F <br /> True milk box--Cafeteria--41.00°F Walk-in cooler--32.00°F <br /> NOTES <br /> Routine inspection. No violations observed. No re-inspection. <br /> Discussed inspection report with Helen Naylor(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 /> 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: LYDIA BAKER Phone: (209)616-3046 <br /> FA0003057 PRO160224 SCO01 09/14/2023 <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 />
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