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J <br /> Environmental Health Department <br /> A N 0 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:SUSD-KOHL SCHOOL Date: 09/09/2024 <br /> Address: 4115 N CROWN , STOCKTON 952076909 <br /> Owner/Operator: SUSD Telephone: (209)933-7000 <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 Benita Mena Expiration Date04/12/2028 <br /> Warewash Chlorine(Cl): 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 /> One door California Cooking cooler--41°Fahrenheit Two door Traulsen cooler--41°Fahrenheit <br /> Norlake milk box--410 Fahrenheit Mop sink--120°Fahrenheit <br /> NOTES <br /> Routine chargeable 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 /> PRO523445 09/09/2024 <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 />