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SANOAQU I N Environmental Health Department <br /> COUNT -( IY <br /> C rea rrie3 S grows here, Time In: 10.35 am <br /> Time Out: 10:57 am <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-JACOBSON SCHOOL Date: 04/30/2019 <br /> Address: 1750 W KAVANAUGH 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 (Chargeable) <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 Knoernschild Expiration Date:October 22,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> True milk cooler--43.00°F mac&cheese-hot hold--167.00°F <br /> 2 door True--39.00°F True milk cooler--41.00°F <br /> nuggets-hot hold--153.00°F <br /> NOTES <br /> wiping cloth bucket 400 ppm Quat/quat test strips are available <br /> Food delivered from West High School (on site when staff arrives at 10:15am) <br /> Lunch service begins at 11:10am <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, FSW <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0002968 PRO162579 SC101 04/30/2019 <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 />