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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 11.05 am <br /> Time Out: 11:29 am <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-SOUTH SCHOOL Date: 04/19/2023 <br /> Address: 500 MONTE DIABLO RD,TRACY 95376 <br /> Owner/Operator: TRACY UNIFIED SCHOOL DISTRICT Telephone: (209)830-3200 <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 /> #34 Warewashing Facilites Maintained <br /> OBSERVATIONS:Quat sanitizer test strips are needed. Obtain Quat sanitizer test strips by 1 week. <br /> CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and <br /> materials shall be provided to measure the applicable sanitization method. (I14067(f,g), 114099, 114099.3, 114099.5, 114101(a), <br /> 114101.1, 114101.2, 114103, 114107, 114125) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Monique Bachelder Expiration Date:September 25,2024 <br /> Warewash Chlorine(Cl): ppm Heat: 'F Water/Hot Water Ware Sink Temp: 134°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Ref A--33.00°F rice at serving line(left)--99.00°F time as a temperature <br /> control <br /> orange chicken-out for portioning into take out boxes--114.00°F Bev Air milk cooler--40.00°F <br /> --time as a temperature control <br /> rice at serving line(right)--113.00°F--time as a temperature Ref C--36.00°F <br /> control <br /> True milk cooler--40.00°F Ref B--39.00°F <br /> CresCor hot hold cabinet--160.00°F <br /> NOTES <br /> wiping cloth buckets 400 ppm Quat/Quat sanitizer test strips are needed (QT-10) <br /> Food is received from Tracy USD-Williams School/arrives around 9:30a <br /> Lunch service times: 11 a-12:45p <br /> No signature obtained <br /> report typed 3:46p-3:54p <br /> FA0003247 PRO161695 SC101 04/19/2023 <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 />