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r: � I I I Environmental Health Department <br /> Y SA N U <br /> f �z wti COUNT Time In: 1.31 pm <br /> Time Out: 1:50 om <br /> c�`�� Greotr+ess �rGws here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: LOLLY HANSEN SENIOR CENTER Date: 07/17/2020 <br /> Address: 375 E NINTH ST , TRACY 95376 <br /> Requestor: CAROLYN NATIVIDAD, LDA PARTNERS Telephone: (209)943-0415 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0078840 <br /> Inspection Type: 523-Plan Check/Report Review <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: Suzette Lovell Expiration Date:June 27,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door True--40.00°F 2 door True--41.00°F <br /> NOTES <br /> Food plan check final inspection for kitchen remodel <br /> OK to operate <br /> No signature obtained/COVID-19 <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: Discussed w/Amanda Jensen, City o <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0003052 SR0078840 SC523 07/17/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />