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�� I Environmental Health Department <br /> SANY „ - <br /> tTime In: 1125 am <br /> Gret�tness grows here, <br /> - Time Out: 11:48 am <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-JACOBSON SCHOOL Date: 11/27/2017 <br /> Address: 1750W KAVANAGH AVE, TRACY 95376 <br /> Owner/Operator: TRACY UNIFIED SCHOOL DIST Telephone: (209)830-3200 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Geraldine Butler Expiration Date:June 03,2019 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door True--40.00°F ravioli--140.00°F <br /> True milk cooler--40.00°F pizza--136.00°F <br /> chili--126.00°F wash water--102.00°F <br /> NOTES <br /> Food is transported in from West High. It is delivered at 9:30am (approx) <br /> Lunch service begins at 10:30am (Mondays-early dismissal)and 11:10am (Tu-Fri) <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: Geri Knoernschild, Food Service <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0002968 PRO162579 SCO01 11/27/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />