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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> 7fa�p[r+85S grows here. Time In: 9:30 am <br /> Time Out: 10:25 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-CESAR CHAVEZ HIGH SCHOOL Date: 04/21/2021 <br /> Address: 2929 WINDFLOWER LN, STOCKTON 95212 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7110 <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 /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Observed multiple floor sinks on site currently lacking a filter inside of the drain at this time. Provide to <br /> ensure large debris does not enter into the plumbing system. Correct within 7 days. <br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances,shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Cicily Fleming Expiration Date:September 11,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Traulsen milk cooler#1 40.00°F Walk-in cooler--41.00°F <br /> Traulsen milk cooler#2--41.00°F Hand washing sink--Restroom--100.00°F <br /> Traulsen milk cooler#3 40.00°F <br /> NOTES <br /> Spring routine inspection. See official inspection report. <br /> Facility dispenses food for the families of the school every Wednesday, starting at 6:45am-7:30am and 10:30am- 12:30pm. <br /> The food items are delivered from Gold Star Foods every Thursday,while Daylight produce and dairy products are brought <br /> every Tuesday morning. <br /> The facility also stores food items on site for smaller school sites within the district. <br /> No ware-washing occurs on site as all utensils are prepackaged. <br /> Not all refrigeration equipment on site is in use. <br /> The facility is serviced by Clark Pest Control on a monthly basis. <br /> Official inspection report emailed. <br /> FA0016586 PR0524705 SC101 04/21/2021 <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 />