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SANIJOAQUIN <br />COUNTY <br />Environmental Health Department <br />Time In: 125 pm <br />Time Out: 2:02 pm <br /> <br />f I i S if it <br />Food Program Service Request Inspection Report <br />Name of Facility KIPP STOCKTON UNIVERSITY PARK MIDDLE SCHOOL Date: 09/21/2022 <br />Address: 820 N AMERICAN ST, STOCKTON 95202 <br />Requestor: MICHELLE RANGEL-GRIFFIN, SCHOOLS IN ACTION Telephone: (323) 597-4341 <br />Program Element: 1602- FOOD CONSULTATION Request #: SR0085586 <br />Inspection Type: 061 - CONSULTATION <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 water temperature from the hand sink inside the employee restroom did not reach 100 F. Adjust the <br />hand sink water temperature to maintain 100 F minimum. Correct within one week. <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(6) 114101(a), 114189, 114192, 114192.1, 114195) <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: Mireya Alvarado Expiration Date: September 11, 2025 <br /> <br />Warewash Chlorine (Cl): <br />PPm <br /> Heat: ° F Water/Hot Water Ware Sink Temp: ° F <br />Quaternary Ammonia (QA): PPm <br /> Hand Sink Temp: ° F <br /> <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />Kratos 1-door cooler — 39.00° F Mop Sink-- 120.00° F <br /> <br />NOTES <br /> <br />Consultation. No major violations. One minor violation identified. Re-inspection is not required. Inspection report was emailed <br />to facility. <br />Okay to issue permit. <br />Program Element: 1632 <br />Maintain a copy of the most current inspection report on-site. <br />To minimize person-to-person contact, the signature of the person receiving the inspection report was not captured. <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. Ifs reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: Mireya Alvarado, Director of Ops <br />EH Specialist: CLAUDIA MURO Phone: (209) 561-8923 <br />SR0085586 SC061 09/21/2022 <br />Page 1 of 1 Food Program Service Request Inspection Report EHD 16-23 Rev, 09/16/2020