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Time In: 11-40 am <br /> Time Out: 12:20 pm <br /> �P.Q•u��.. P San Joaquin County <br /> y� 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 /> '9Gl P Oftt� <br /> Food Program Official Inspection Report <br /> Name of Facility: UNITED LUTHERAN CHURCH FOOD BK Date: 04/28/2016 <br /> Address: 649 NORTHGATE DR, MANTECA 95336 <br /> Owner/Operator: UNITED LUTHERAN CHURCH Telephone: (209)823-0429 <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: n/a Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Food bank has two freezers. Freezers are currently turned off due to food distribution-per Manager,freezers are turned off <br /> only during distribution time to prevent the units from burning up/breaking). Food is frozen. <br /> Freezer logs are kept. <br /> Food distribution is the 4th Thursday of the month from 11 am-12:15pm (except for Nov and Dec-3rd Thursday) <br /> Food comes from Second Harvest Food Bank <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 /> �/J9� PaQ <br /> Received by: Name and Title: Christine Jenkins, Food Pantry organ <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0012280 PRO515682 SCO01 04/28/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />