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r I �,r Environmental Health Department <br /> SANJOAQUCUfT I� <br /> Greotness grows here Time In: 12.02 p <br /> Time Out: 12:50 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: SUSD-WILHELMINA HENRY ELEMENTARY Date: 03/30/2022 <br /> Address: 1107S WAGNER , STOCKTON 95215 <br /> Owner/Operator: STOCKTON UNIFIED SCHOOL DIST Telephone: (209)933-7045 <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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:There is no hot water in the non-adjustable hand sink inside the men's restroom. This is a repeat <br /> violation.Adjust water temperature to maintain 100- 108 F in the non-adjustable faucet. Correct today. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Edward Orozco Expiration Date:January 12,2026 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Traulsen Reach-in Cooler#2--Cafeteria--37.00°F Walk-in Cooler--41.00°F <br /> Mop Sink--132.00°F Cres Cor Hot Hot--139.00°F <br /> Traulsen Reach-in Cooler#1 --Cafeteria 37.00°F <br /> NOTES <br /> Spring Routine Inspection. No major violations observed. Time given for correction of one minor violation. Re-inspection is not <br /> required. Official inspection report was emailed to 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: Edward Orozco, Lead <br /> EH Specialist: CLAUDIA MURO Phone: (209)561-8923 <br /> FA0018000 PR0526593 SC101 03/30/2022 <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 />