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�� I Environmental Health Department <br /> SANY „ - <br /> tTime In: 11:32 am <br /> .*+ R�triSSgrows here. Time Out: 12:10 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: EUSD-VAN ALLEN SCHOOL Date: 10/30/2017 <br /> Address: 21051 E HWY 120 , ESCALON 95320 <br /> Owner/Operator: ESCALON UNIFIED SCHOOL DISTRIC Telephone: (209)838-3591 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit Reinspection on or after: 11/13/2017 <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 /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization MAJOR <br /> OBSERVATIONS:Observed an employee wash and rinse a thermometer without sanitizing it. Properly follow the <br /> wash-rinse-sanitize-air dry system every time for every utensil. Correct today. <br /> Major violation/corrected on site. <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized. (I 13984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101 (b-d), 114105, 114109, 114111, 114113, 114115(a,b, d), 114117, 114125(b), 114135, 114141) <br /> #23 Rodents, Insects or Animals Inside Facility <br /> OBSERVATIONS:There are numerous flies in the kitchen and throughout.Take action to reduce the flies in the kitchen <br /> today. <br /> Use only commercial grade/food safe products. <br /> CALCODE DESCRIPTION:Each food facility shall be kept free of vermin:rodents(rats,mice), cockroaches,flies.(114259.1, 114259.4, <br /> 114259.5) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Cindy Davis Expiration Date:July 17,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door Traulsen--39.00°F chicken--hot hold 124.00°F <br /> pasta bowls--hot hold--135.00°F restroom hand sink 110.00°F <br /> burrito--hot hold--147.00°F <br /> NOTES <br /> FA0000355 PRO161696 SCO01 10/30/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />