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�l � � �A� I I�1ISI Environmental Health Department <br /> `— Fel <br /> L.. v•:v COUNTY <br /> { � 7fa�p[r+85S grows hire. Time In: 11:55 am <br /> Time Out: 1:05 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-CESAR CHAVEZ HIGH SCHOOL Date: 09/04/2020 <br /> Address: 2929 WINDFLOWER LN, STOCKTON 95212 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7110 <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;113700.All <br /> violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health and have the <br /> potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of the food facility. <br /> #23 Rodents, Insects or Animals Inside Facility <br /> OBSERVATIONS:One dead cockroach observed on the floor near the 3-Compartment sink. Clean up dead cockroach <br /> and increase pest control measure as necessary. <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: Cicily Fleming Expiration Date:September 11,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3-Compartment Sink--Kitchen--120.00°F Traulsen#1 #2#3/Milk--Food Court--41.00°F <br /> Hand Sink--Restroom-Male--100.00°F 2-Sliding Door Intela-Traul Cooler--Storage Room near Food <br /> Court--41.00°F <br /> 1-Compartment Sink--Near 3-Compartment Sink--120.00°F Walk-In--Kitchen--41.00°F <br /> Hand Sink#1 #2--Kitchen--100.00°F Hand Sink--Food Court--100.00°F <br /> 2-Sliding Door Traulsen Cooler--Kitchen--41.00°F Hand Sink--Next to cashier counter--100.00°F <br /> Hand Sink--Restroom-Staff--100.00°F 2-Door Traulsen Cooler#1 #2--Kitchen/Food Court--41.00°F <br /> 2-Compartment Sink--Kitchen--120.00°F 1-Compartment Sink--Kitchen--120.00°F <br /> NOTES <br /> Routine inspection conducted this date,the following observations were noted: <br /> 200 ppm Quaternary Ammonia observed in the sanitizer bucket. <br /> Test strips observed on site. <br /> Prepackaged food only; no cooking activity on site due to COVID-19. <br /> Inspection report was discussed with Cicily Fleming, Manager. <br /> Maintain a copy of this inspection report on site. <br /> Inspection report will be e-mailed to facility. <br /> FA0016586 PR0524705 SC101 09/04/2020 <br /> EHD 16-23 Rev.08/10/2020 Page 1 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjgov.org/EHD <br />