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t "` °• ►I �� Illlr<I Environmental Health Department <br /> �1 <br /> U 111 <br /> -COUNTY— <br /> Time <br /> Gf$oLr�@SS f wS hem TimeOut: <br /> In: 11.05 am <br /> Time Out: 11:15 am <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY USD-FOOD WAREHOUSE Date: 09/13/2022 <br /> Address: 1975 W LOWELL AVE, 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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk-in freezer--7.90°F walk-in cooler--36.00°F <br /> restroom hand sinks x2--100.00°F <br /> NOTES <br /> Pre-packaged food/no food prep <br /> Open 7a-12p/1 p-3:30p <br /> No signature obtained <br /> Report typed in the office 12:19p-12:24p <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/Leonard Pacheco, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0012046 PR0515099 SCO01 09/13/2022 <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 />