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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HENRY LONG
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1600 - Food Program
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PR0521810
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COMPLIANCE INFO_2023
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Last modified
10/25/2023 2:17:49 PM
Creation date
4/27/2023 2:42:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0521810
PE
1632
FACILITY_ID
FA0014810
FACILITY_NAME
MUSD-GEORGE Y KOMURE ELEMENTARY
STREET_NUMBER
2121
STREET_NAME
HENRY LONG
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
16603022
CURRENT_STATUS
01
SITE_LOCATION
2121 HENRY LONG BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y <br /> ttlir_ ' COUNTY— <br /> Greol less grows he, . Time In: 1000 am <br /> Time Out: 10:33 am <br /> Food Program Official Inspection Report <br /> Name of Facility: MUSD-GEORGE Y KOMURE ELEMENTARY Date: 09/21/2023 <br /> Address: 2121 HENRY LONG 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 /> #23 Rodents, Insects or Animals Inside Facility <br /> OBSERVATIONS:There are a lot of flies in the kitchen.Take action to reduce/eliminate the flies in the kitchen. <br /> Two of the cafeteria doors are open at the time of the inspection (forced air fans are not turned on). <br /> CALCODE DESCRIPTION:Each food facility shall be kept free of vermin:rodents(rats,mice), cockroaches,flies.(114259.1, 114259.4, <br /> 114259.5) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Nancy Serrano Expiration Date:September 16,2026 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door Traulsen-right--41.00°F Norlake milk cooler-left--41.00°F <br /> walk-in cooler--37.00°F restroom hand sink--100.00°F <br /> chicken strips @ delivery--123.00°F--time as a temperature Norlake milk cooler-right--41.00°F <br /> control <br /> 2 door Traulsen-left--37.00°F burgers @ delivery--140.00°F <br /> corn dogs(Supper)--41.00°F <br /> NOTES <br /> chlorine sanitizer&test strips are available <br /> Facility receives food from Weston Ranch High School: arrives around 9:30a(arrived at 10:15a today) <br /> Lunch service time: 10:45a-12:25p <br /> No signature obtained <br /> Report typed in the office 1:41 p-1:49p <br /> FA0014810 PR0521810 SCO01 09/21/2023 <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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