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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. TimeIn:�5S� <br /> Time Out: 1:45 pm <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: SUSD-FREMONT SCHOOL Date: 03/28/2022 <br /> Address: 2021 E FLORA ST, STOCKTON 95205 <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 /> #33 Nonfood Contact Surfaces Clean <br /> OBSERVATIONS:The cooling fan cover inside the walk-in cooler had dust accumulation. Maintain fan covers clean to <br /> protect stored food items from contamination from fallen debris. Clean within seven days. <br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Herbert Lopez Expiration Date:October 19,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Norlake Reach-in Cooler#1 --Kitchen--37.00°F Norlake Reach-in Cooler#2--Kitchen--41.00°F <br /> Mop Sink--120.00°F Walk-in Cooler--41.00°F <br /> Norlake Reach-in Cooler--Cafeteria--41.00°F <br /> NOTES <br /> Spring Routine Inspection. No major violations were identified. Time given for correction of one minor violation. Re-inspection <br /> is not required. Official inspection report was emailed to the facility. <br /> Maintain a copy of the official inspection report on-site. <br /> To minimize person-to-person contact,the signature of the person receiving the inspection report was not captured. <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: Herbert Lopez Sr., Lead <br /> EH Specialist: CLAUDIA MURO Phone: (209)561-8923 <br /> FA0001358 PRO161842 SCO01 03/28/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility OIR <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 />