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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 8.49 am <br /> Time Out: 9:11 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-SJ ELEMENTARY SCHOOL Date: 10/12/2021 <br /> Address: 2020 FRESNO AVE, STOCKTON 95206 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7045 <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: Josie Alaniz Expiration Date:January 14,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 140°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Traulsen milk coloer-right--39.00°F Traulsen milk cooler-After School Snack--41.00°F <br /> milk cooler--46.00°F--empty/not in use walk-in cooler--38.00°F <br /> 2 door Traulsen-right--37.00°F 2 door Traulsen-left--40.00°F <br /> NOTES <br /> wiping cloth bucket 500 ppm+Quat/diluted to 400 ppm Quat/quat test strips are available <br /> Lunch is served 10:30am-12:20pm <br /> Additional Food Manager: Pamela Asuncion-expires 1-12-2026 <br /> No hot food at the time of the inspection <br /> No signature obtained <br /> Report typed up at the office 3:31 pm-3:42pm <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/Josie Alaniz, Lead <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0012226 PR0515575 SCO01 10/12/2021 <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 />