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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 12:01 pm <br /> Time Out: 12:21 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-HIRSCH ELEM SCHOOL Date: 09/26/2023 <br /> Address: 1280 DOVE ST, TRACY 95376 <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 /> #1 Demonstration of Knowledge <br /> OBSERVATIONS:The 5 year Food Safety Certificate for this facility is expired. One person shall obtain the 5 year Food <br /> Safety Certificate within 60 days. Once obtained, provide a copy to Kadeanne Linhares. <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare,handle or serve non-prepackaged potentially hazardous food,shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 127°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Bev Air milk cooler--41.00°F cheesy pull aparts @ line--147.00°F <br /> chicken strips @ hot hold--138.00°F chicken strips @ line--133.00°F--time as a temp.control <br /> 1 door True--40.00°F cheesy pull aparts @ hot hold--162.00°F <br /> NOTES <br /> wiping cloth bucket 400ppm Quat/Quat sanitizer test strips are available <br /> Food comes from Williams-arrives around 10:15a <br /> Lunch is served 11a-12:50p <br /> No signature obtained <br /> Report typed in the office 3:21 p-3:28p <br /> FA0012292 PR0515697 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 />