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SANOAQU I N Environmental Health Department <br /> COUNT -( IY <br /> { put' <br /> �1f flCri 3S grows here, <br /> Time In: 1:00 pm <br /> tlp <br /> Time Out: 2:15 om <br /> Food Program Complaint Inspection Report <br /> Name of Facility: KANGAZOOM Date: 11/01/2019 <br /> Address: 3200 NAGLEE RD, TRACY 95304 <br /> Owner/Operator: Telephone: (209)830-9666 <br /> Program Element: 1600-FOOD PROGRAM Complaint#: C00051039 <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> C00051039 states: COMPLAINANT WENT TO A BIRTHDAY PARTY AT KANGAZOOM AND 90 PERCENT OF THE <br /> CHILDREN AT THE PARTY AND 1 ADULT GOT SICK. COMPLAINANT ISN'T SURE IF THEY GOT SICK FROM A CHILD <br /> AT THE PARTY THAT WAS ALREADY SICK OR FROM THE FOOD. <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 /> #7 Hot and Cold Holding Temperatures <br /> OBSERVATIONS:The 2 door TorRey reach-in is 44F. Decrease temperature of unit to 41 F or below. Correct today. <br /> CALCODE DESCRIPTION:Potentially hazardous foods shall be held at or below 41/45°F or at or above 135°F. (113996, 113998, <br /> 114037, 114343(a)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Corine Berry Expiration Date:July 02,2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door True at KangaKafe--27.00°F 1 door Kenmore--14.00°F <br /> 1 door M3 freezer--19.00°F restroom hand sinks--100.00°F <br /> 2 door True lowboy--26.00°F pizza out of oven--183.00°F--183-189F range <br /> 2 door Kelvinator--13.00°F fries out of Perfect Fry Co ventless fryer--211.00°F <br /> 2 door Tor Rey--44.00°F--* 2 door Arctic Air--18.00°F <br /> 1 door Kelvinator--1.00°F <br /> NOTES <br /> Spoke with complainant on 11-1-19 Complainant states that 7-9 children and 1 adult became ill after attending a birthday <br /> party at this facility on Sunday, October 27th from 12-2:30p. Complainant states that the children began feeling ill on Monday, <br /> October 28th at 4:30-5pm. Common food eaten by party guests are french fries and pizza. Complainant states she consumed <br /> the french fries, but did not become ill. <br /> FA0021906 C00051039 SCO04 11/01/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program Complaint Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />