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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: 10:01 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LUSD-JOHN R WILLIAMS Date: 04/24/2023 <br /> Address: 2450 MEADOW AVE, 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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:The warm water at the backhand sink in the kitchen was observed at 113 F. Provide warm water <br /> between 100-108 F since faucet is non-adjustible. Correct today. (REPEAT) <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Joan Gonzalez Expiration Date:September 22,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 103°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> True milk box--Serve line--40.00°F Prep sink--124.00°F <br /> Hand sink--Restroom--100.00°F Mop sink--120.00°F <br /> True milk box--Kitchen--40.00°F Walk-in cooler--41.00°F <br /> Crescor warmer--Left side--135.00°F Crescor warmer--Right side--137.00°F <br /> NOTES <br /> Routine chargeable inspection. No major violations. Time given for correction of minor violation. No re-inspection. <br /> Discussed inspection report with Joan Gonzalez(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 /> FA0001654 PRO160237 SC101 04/24/2023 <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 />