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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0162579
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COMPLIANCE INFO
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Entry Properties
Last modified
5/22/2020 1:21:23 PM
Creation date
12/7/2018 5:36:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0162579
PE
1632
FACILITY_ID
FA0002968
FACILITY_NAME
TRACY USD-JACOBSON SCHOOL
STREET_NUMBER
1750
Direction
W
STREET_NAME
KAVANAGH
STREET_TYPE
AVE
City
TRACY
Zip
95376
APN
21407002
CURRENT_STATUS
01
SITE_LOCATION
1750 W KAVANAGH AVE
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Supplemental fields
FilePath
\MIGRATIONS\K\KAVANAUGH\1750\PR0162579\COMPLIANCE.PDF
QuestysFileName
COMPLIANCE
QuestysRecordDate
10/1/2015 8:15:03 PM
QuestysRecordID
2873614
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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oeag;"..SAG SAN JOAQUIN COUNTY- <br /> ENVIRONMENTAL <br /> OUNTYENVIRONMENTAL HEALTH DEPARTMENT <br /> y 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 5 - MCC' `r', Choc.,) Date: 2.-, A7 <br /> Address: Kc, UOnpu City. IraC Zip Code: /S3 � <br /> caner/Operator: 15 n Telephone: &3 G i3 <br /> 5-1 <br /> Program Element: (� Program Record: (�1 Inspection Type. WI <br /> 6180 Posted Yes ❑ No Permit Posted es ❑No Re-Inspection on or After: <br /> IN=In Compliance N/O=Not Observed WA=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance <br /> See reverse side for code sections and general requirements that correspond to each violation listed below. <br /> Major violations pose a threat to public health and must be corrected immediately. Non-compliance may warrant closure of the food facility <br /> w wo can - Demonstration of Knowledge rwU our cos - Supervision our <br /> f lit_ Demonstration of knowledge;food safety certificate 24. Person In Charge is present and performs duties <br /> _Employee Health and.Hygiene Personal Cleanliness <br /> Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> No discharge from eyes,nose,or mouth;no open wounds -.General Food Safety Requirements <br /> PI Proper eating,tasting.drinking,or tobacco use 26. Approved thawing methods used <br /> Preventing Contaminatloiu yHands 7. Food protected from contamination during storage <br /> Hands clean and properly washed:proper glove use 28. Washing fruits and vegetables before use <br /> Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used <br /> Timer and Temperature Relationship Food Storage/Display/Service <br /> Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> Proper use of time as a public health control 31. Customer self-service food protected;individual utensils provitletl <br /> Proper cooling methods 32. Food properly labeled and honestly presented <br /> Y0. Proper cooking time and temperatures Equipment/Utensils/Linens <br /> 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> Protection From Contamination 34. Warewashing facilities maintained;test strips available <br /> �' 12. No re-service of returned food 5. Equipment/utensils approved;installed;clean;good repair <br /> )( � 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use <br /> -k 14. Food contact surface cleaned and sanitized/warewashing procedures 37. Vending machines maintained <br /> From Ap'proved Source 38 Approved and sufficient ventilation and lighting <br /> 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> 16. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths <br /> 17. Compliance with Gulf oyster regulations Physical Facilities <br /> Conformance With Approved Procedures 41. Plumbing maintained.proper back flow prevention <br /> X18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> Consumer Advisory 43. Toilet facilities clean,supplied,and maintained <br /> :19. Advisory provided for raw or undercooked food 44. Premises:personal/cleaning items:vermin-proofing <br /> ,.,,;HighlySusceptible Populations Permanent Food Facilities <br /> '26-. Frohibited foods notoffered at high risk facilities 45- Floors,walls and ceiling are maintained and kept clean <br /> ter JHot Water 46. No living or sleeping quarters inside facility <br /> 21_Hot and cold potable water available- Compliance and Enforcement <br /> ° pfd Waste Disposal 47. Signs posted;last inspection report available <br /> 22. Sewagelwastewater properly disposed:toilet facility useable 48. Compliance with plan review requirements <br /> Vermin 49. Facility operating with a valid health permit <br /> 3. No rodents, insects_birds of animals inside facility 50. Impoundment <br /> 1. Permit Suspension <br /> Received B ilia: ,��n r� <br /> EH Specialist: Cif Phone: i! / �,.J/t r Page 1 of^2 <br /> EHD 16-23 (tst pg) 12215109 `7 G FOOD PROGRAM OIR <br />
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