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COMPLIANCE INFO_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HOLLY
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1600 - Food Program
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PR0515696
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COMPLIANCE INFO_2021
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Last modified
9/22/2021 9:38:39 AM
Creation date
3/9/2021 8:38:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0515696
PE
1632
FACILITY_ID
FA0012291
FACILITY_NAME
TRACY USD - NORTH SCHOOL
STREET_NUMBER
2875
STREET_NAME
HOLLY
STREET_TYPE
Dr
City
Tracy
Zip
95376
APN
21450002
CURRENT_STATUS
01
SITE_LOCATION
2875 Holly Dr
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 11.30 am <br /> Time Out: 11:57 am <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-NORTH SCHOOL Date: 09/20/2021 <br /> Address: 2875 Holly Dr, TRACY 95376 <br /> Owner/Operator: TRACY UNIFIED SCHOOL DISTRICT Telephone: (209)830-3200 <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: Kathleen Durant Expiration Date:June 05,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 136°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> corn dogs-- 134.00°F--time as a temperature control 1 door Bev Air milk cooler--37.00°F <br /> 1 door Victory hot hold cabinet--147.00°F pizza crunchers--134.00°F--134-141 F range/time as a <br /> temperature control <br /> 1 door Continental--41.00°F 1 door True milk cooler(silver)--39.00°F--juice <br /> 8 door Victory--41.00°F 1 door True milk cooler(white)--41.00°F <br /> NOTES <br /> wiping cloth bucket 200 ppm Quat/test strips are available <br /> Food is transported from West High-arrives around 10am <br /> Lunch service time: 11am-12:25pm <br /> No signature obtained <br /> Report typed up at the office 3:28pm-3:37pm <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: Discussed w/Kathleen Durant, Lead <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0012291 PR0515696 SCO01 09/20/2021 <br /> EHD 16-23 Rev.09/16/2020 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.sjgov.org/EHD <br />
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