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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> .r{ � 7fa�p[r+85S grows here. Time In: 10:30 am <br /> Time Out: 11:22 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LINDEN USD-WAVERLY SCHOOL Date: 04/20/2021 <br /> Address: 3507 WILMARTH 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 (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; <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 /> #1 Demonstration of Knowledge <br /> OBSERVATIONS:The food safety certificate on site is from a manager no longer on site. Provide a food safety certificate <br /> for the manager on site within 60 days and provide a copy to Victor acevedo(vmacevedo@sjgov.org). <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare,handle or serve non-prepackaged potentially hazardous food,shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Needed Expiration Date: <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Crescor Hot Hold--160.00°F 3 Dr Traulsen cooler 41.00°F <br /> True Milk cooler--41.00°F 1 Dr Whirlpool cooler 41.00°F <br /> Intek Hot Hold--150.00°F <br /> NOTES <br /> Spring routine inspection. <br /> The facility provided lunch for students on site Monday, Tuesday,Thursday and Friday from 11:00am- 12:30pm. <br /> The facility also provides heated meals for Redwood school,which is located adjacent to this facility. <br /> All meals are delivered from Linden High School and warmed on site,while dairy products are provided by a dairy supplier. <br /> All utensils on site are disposable, all tables in which students sit to eat lunch, are cleaned and sanitized after each use. <br /> 3-compartment sink also acts as a hand washing area due minimal ware-washing, as most food products that come are <br /> prepared and prepackaged. <br /> Official inspection report emailed. <br /> FA0002202 PRO161853 SC101 04/20/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 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 />