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SA N'tJ D A Q U I N Environmental Health Department <br /> I��kiw <br /> —COUNTY <br /> Greorness grows here, Time In: 8.54 am <br /> Time Out: 9:19 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: LINDEN USD-WAVERLY SCHOOL Date: 10/26/2020 <br /> Address: 3507 WILMARTH 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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Kerry Craven Expiration Date: March 14,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 door Traulsen--37.00°F 3 comp/hand sink--120.00°F <br /> Whirlpool residential refrigerator--41.00°F <br /> NOTES <br /> sanitizer bucket greater than 200ppm (chlorine) <br /> Note: Food is served daily. <br /> Food is primarily frozen and fresh fruit from Linden Unified. <br /> No hot foods were being prepared at the time of inspection. <br /> Breakfast is at 8am and lunch begins at 11:30am <br /> No violations. <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: Wendy Whittaker, manager, sig not c <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0002202 PRO161853 SCO01 10/26/2020 <br /> EHD 16-23 Rev.06/30/15 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.sjcehd.com <br />