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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 12-13 p <br /> •'C1FaR�;` G9reotness grows here. <br /> Time Out: 12:59 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-MONTEZUMA SCHOOL Date: 10/19/2021 <br /> Address: 2843 E FARMINGTON RD, 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: Marrisa Requieron Expiration Date: November 14,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Staff restroom--108.00°F 3 compartment sink--Kitchen--122.00°F <br /> Prep sink--Kitchen--122.00°F Reach-in True cooler--Kitchen--41.00°F <br /> Walk-in cooler--40.00°F-- Reach-in Traulsen cooler--Cafeteria--39.00°F <br /> Hot hold Carter Hoffman--155.00°F Reach-in True cooler--Cafeteria--41.00°F <br /> Norlake reach-in cooler--Kitchen--41.00°F 2 door Hobart--41.00°F <br /> Norlake True cooler--Kitchen--41.00°F <br /> NOTES <br /> Fall Routine Inspection. <br /> No violations. <br /> Official Inspection report emailed. <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: Emailed to Marissa Requieron, Mgr <br /> EH Specialist: CLAUDIA MURO Phone: (209)561-8923 <br /> FA0002079 PRO161536 SCO01 10/19/2021 <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 />