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Environmental Health Department <br />Time In: <br /> 9:31 am <br /> 8:57 am <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 468-9061 Owner/Operator: SJ CO OFFICE OF EDUCATION <br />Inspection Type: ROUTINE INSPECTION (Chargeable) <br />Address: 22 S VAN BUREN ST, STOCKTON 95203 <br />Date: 05/01/2023Name of Facility: ONE CHARTER ELEMENTARY <br />Food Program Official Inspection Report <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 105 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />One door True cooler -- 41.00º F Hand sink -- Restroom -- 100.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine chargeable inspection. No violations. No re-inspection. <br />Facility serves hot and cold pre-made/packaged lunches provided by Lodi USD Central Kitchen. <br />Discussed inspection report with Carline Wagner (Student Services Nutrition Specialist). Official inspection report was <br />emailed to operator. <br />Maintain copy of 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: <br />EH Specialist:Phone:(209) 616-3046 <br />, <br />LYDIA BAKER <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0024900 PR0543794 SC101 05/01/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD