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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> .r{ � 7fa�pl r+fSS grows hire, Time In: 10.04 am <br /> Time Out: 10:45 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LINDEN USD-WATERLOO ELEMENTARY Date: 09/12/2023 <br /> Address: 7007 N PEZZI RD, STOCKTON 95215 <br /> Owner/Operator: LINDEN UNIFIED SCHOOL DISTRICT Telephone: (209)887-3894 <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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:The hand sink hot water temperature at the staff restroom was observed at 89 F. Increase hot water <br /> temperature at this sink to 100 F minimum. Correct within one week. <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 /> 2111 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Amber Kissee Expiration Date: November 01,2026 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Kool-it 3-dr upright cooler--39.00°F Kool-it 2-dr upright cooler--40.00°F <br /> True reach in cooler--Cafeteria--39.00°F Bev-Air 1-dr upright cooler--39.00°F <br /> NOTES <br /> No major violations. <br /> Print and maintain a copy of the most current inspection report on-site. <br /> Note: The signature of the person receiving the inspection report was not captured during the inspection. <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: <br /> EH Specialist: CLAUDIA MURO Phone: (209)561-8923 <br /> FA0002499 PRO161971 SCO01 09/12/2023 <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 />