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SA NUJ OAHU I N Environmental Health Department <br /> ■ COUNT Y-- <br /> c/ `p' Greo[Dess grows hey,. Time In: 11.25 am <br /> Time Out: 12:06 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-GEORGE BUSH ELEMENTARY SCHOOL Date: 03/06/2020 <br /> Address: 5420 FRED RUSSO DR, STOCKTON 95212 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7110 <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: Sherrill Fuller Expiration Date: February 24,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 127°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 110°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Chicken-Right serving line--Kitchen--138.00°F 2 doors Aquatemp warmer--Kitchen--140.00°F <br /> 2 doors Traulsen cooler-Right--Kitchen--41.00°F Hand wash sink--Kitchen--110.00°F <br /> Salad Bar--Cafeteria--41.00°F Walk in cooler--Kitchen--40.00°F <br /> 2-comp sink--Kitchen--130.00°F Cres Cor Warmer--Kitchen--155.00°F <br /> Chicken-Left serving line--Kitchen--135.00°F 2 doors Traulsen cooler-Left--Kitchen--41.00°F <br /> Traulsen cooler-Milk--Cafeteria--41.00°F <br /> NOTES <br /> Sanitizer bucket is set up with 200 ppm of Quat.Ammonia. <br /> Hair net and glove observed for all kitchen employees. <br /> Clark pest control was on site February, 2020. <br /> Last inspection report is onsite. <br /> No violation noted. <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: Kelli Gomez, 933-7350,food service <br /> EH Specialist: STEVEN SHIH Phone: (209)468-9850 <br /> FA0017872 PR0526416 SCO01 03/06/2020 <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 />