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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160357
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COMPLIANCE INFO_2024
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Last modified
9/4/2024 3:00:32 PM
Creation date
3/8/2024 10:53:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0160357
PE
1632
FACILITY_ID
FA0002478
FACILITY_NAME
LUSD-MABEL BARRON ELEM
STREET_NUMBER
6835
STREET_NAME
CUMBERLAND
STREET_TYPE
PL
City
STOCKTON
Zip
95209
APN
09807006
CURRENT_STATUS
01
SITE_LOCATION
6835 CUMBERLAND PL
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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J <br /> Environmental Health Department <br /> A N0 A 0 U I N <br /> t� : -�'o-- C:0U N TY <br /> Y � + Greatness grows Frere. <br /> Food Program Official Inspection Report <br /> Name of Facility:LUSD-MABEL BARRON ELEM Date: 09/04/2024 <br /> Address: 6835 CUMBERLAND PL, STOCKTON 95209 <br /> Owner/Operator: LINCOLN UNIFIED SCHOOL DIST Telephone: (209)953-8700 <br /> Program Element: 1632- EXEMPT FOOD <br /> Inspection Type: Routine Inspection Reinspection on or after: <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 <br /> closure of the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate Cynthia Knight Expiration Date09/02/2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122 °F <br /> Quaternary Ammonia(QA):200 ppm Hand Sink Temp: 104 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> True milk box--Wall--38°Fahrenheit Two door Traulsen cooler--40°Fahrenheit <br /> Walk-in cooler--39°Fahrenheit Two door Crescor warmer--Left side--149°Fahrenheit <br /> Beans--Steam table--142°Fahrenheit Hand sink--Back--108°Fahrenheit <br /> Milk box--Serve line--41°Fahrenheit Prep sink--125°Fahrenheit <br /> Twp door Crescor warmer--Right side--144°Fahrenheit <br /> NOTES <br /> Routine inspection. No violations observed. No re-inspection. <br /> Official inspection report was emailed to operator. <br /> Maintain copy of 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.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: <br /> EH Specialist: LYDIA BAKER Phone: (209)616-3046 <br /> PRO160357 09/04/2024 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Food Program OIR <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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