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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLn@SSfwS hemTimeln: 11-17am <br /> Time Out: 11:38 am <br /> Food Program Official Inspection Report <br /> Name of Facility: MUSD-GREAT VALLEY ELEMENTARY SCHOOL Date: 09/27/2023 <br /> Address: 4223 MCDOUGALD BLVD, STOCKTON 95206 <br /> Owner/Operator: MANTECA UNIFIED SCHOOL DISTRICT Telephone: (209)825-3200 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Tracy Fells Expiration Date:July 28,2025 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hummus @ line--40.00°F restroom hand sink--100.00°F--slow to reach 100F <br /> cheese sticks @ line--138.00°F Norlake milk cooler-left--41.00°F <br /> walk-in cooler--41.00°F Norlake milk cooler-right--42.00°F <br /> cheese sticks @ hot hold--137.00°F <br /> NOTES <br /> wiping cloth bucket 200 ppm Cl/Cl sanitizer test strips are available <br /> Lunch served: 10:40a-11:55a <br /> Food is received from Weston Ranch HS/arrives around 10a <br /> No signature obtained <br /> Report typed 2:42p-2:51 p <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: discussed w/Tracy Fells, NSL <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0012233 PR0515583 SCO01 09/27/2023 <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 />