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SAN J U A Q U I N Environmental Health Department <br /> COUNTY <br /> Greotness grows here, Time In: 8:47 am <br /> Time Out: 9:18 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LINDEN USD-WATERLOO ELEMENTARY Date: 10/30/2020 <br /> Address: 7007 N PEZZI RD, STOCKTON 95215 <br /> Owner/Operator: LINDEN UNIFIED SCHOOL DISTRICT Telephone: (209)887-3894 <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 /> #33 Nonfood Contact Surfaces Clean <br /> OBSERVATIONS:Observed debris on cooking hood over Blodgett oven. Clean <br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Amber Kissee Expiration Date:October 16,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 128°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 134°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--kitchen--134.00°F Whirlpool residential referigerator--41.00°F <br /> milkbox(L)--41.00°F in counter prep sink--132.00°F <br /> 3 comp--kitchen--128.00°F milkbox(R)--35.00°F <br /> NOTES <br /> Breakfast and lunches are served M-F at 7am-8am <br /> at bus stops. <br /> Foods come from the Linden Unified Warehouse a majority of the entrees come to the facility frozen. <br /> No cooking or warming up of foods occur at this kitchen at this time. <br /> sanitizer bucket 200ppm (chlorine) <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: Amber Kissee, manager, sig not capt <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0002499 PRO161971 SCO01 10/30/2020 <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 />