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Time In: 2.15 pm <br /> Time Out: 2:50 pm <br /> �.... .. P San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �•.• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> '9C%FORM <br /> Food Program Service Request Inspection Report <br /> Name of Facility: RIVER ISLANDS TECHNOLOGY ACADEMY II Date: 09/08/2017 <br /> Address: 1175 MARINA DR, LATHROP 95330 <br /> Requestor: PATTY PAGE, MANTECA UNIFIED SCHOOL DISTRICT Telephone: (209)858-0778 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0078128 <br /> Inspection Type: 061 -CONSULTATION <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: Jennifer Collins Expiration Date: November 13,2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door Kelvinator--left unit--36.00°F 2 door Traulsen--39.00°F <br /> 3 comp sink--130.00°F 1 door Turbo Air--'Booster Club"frig/fzr combo 29.00°F <br /> hand sink--121.00°F restroom hand sink--103.00°F <br /> 1 door Kelvinator--right-milk--40.00°F 1 comp prep sink--120.00°F <br /> NOTES <br /> Changing from Banta Unified to Manteca Unified School District(year to year contract with MUSD). <br /> Lunch served on Mon-Tues and Thur-Fri (service starts at 11:15am-1 pm) <br /> OK to permit as a 1632. <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 /> 0"Wv)&� <br /> Received by: Name and Title: Annastacia Yager, Nutrition Ed Super <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0023303 SR0078128 SC061 09/08/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />