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COMPLIANCE INFO_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0161691
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/12/2022 1:08:41 PM
Creation date
3/28/2022 11:48:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0161691
PE
1632
FACILITY_ID
FA0002994
FACILITY_NAME
NEW JERUSALEM SCHOOL
STREET_NUMBER
31400
Direction
S
STREET_NAME
KOSTER
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
25527012
CURRENT_STATUS
01
SITE_LOCATION
31400 S KOSTER RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 1023 am <br /> Time Out: 10:57 am <br /> Food Program Official Inspection Report <br /> Name of Facility: NEW JERUSALEM SCHOOL Date: 03/23/2022 <br /> Address: 31400 S KOSTER RD, TRACY 95376 <br /> Owner/Operator: NEW JERUSALEM SCHOOL Telephone: <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Melissa Cochrane Expiration Date: March 15,2026 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 133°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> corn dogs at hot hold-- 157.00°F corn dogs--141.00°F--just packaged up <br /> 2 door True--40.00°F Bev Air milk cooler(#3)--41.00°F <br /> 2 door Blue Air--41.00°F restroom hand sinks(x2)--100.00°F <br /> Bev Air milk cooler(#2)--37.00°F 2 door Arctic Air--39.00°F <br /> True milk cooler--40.00°F <br /> NOTES <br /> wiping cloth bucket 200ppm Cl/Cl sanitizer test strips are available <br /> Food is prepped on site(no transport)for New Jerusalem and Delta Charter <br /> High School lunch: 10:55a(carted over around 10:30a/pre-packaged&pre-portioned) <br /> New J lunch: 11:40a-12:30p <br /> No signature obtained <br /> Report typed up at the office 3:27p-3:37p <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/David Barker,food hand <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0002994 PRO161691 SC101 03/23/2022 <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 />
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