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SANOAQU I N Environmental Health Department <br /> C O LJ NI T Y I Y Time In: 8.55 am <br /> Time Out: 9:25 am <br /> Crtorness grow$ here, <br /> Food Program Service Request Inspection Report <br /> Name of Facility: RIVER ISLANDS TECHNOLOGY ACADEMY II Date: 08/13/2020 <br /> Address: 1175 MARINA DR , LATHROP 95330 <br /> Requestor: JAMIE ANDERSON, BANTA SCHOOL DISTRICT Telephone: (209)851-4815 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0082433 <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 /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:The right drain line at the 3 comp sink extends into the floor sink. Cut the end of this drain line so it <br /> terminates 1"above the lip of the floor sink. Correct by 1 week. <br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances,shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door Traulsen--35.00°F 2 door True freezer--10.00°F <br /> 1 comp prep sink--120.00°F 3 comp sink--126.00°F <br /> 2 comp prep sink--120.00°F hand sink--120.00°F <br /> NOTES <br /> This will be a transport school. Food will be prepared at STEAM and transported over. <br /> OK to permit as a 1632/inspector will e-mail 5021. Please fill out and return via e-mail to Kadeanne Linhares <br /> (klinhares@sjgov.org) <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/Jamie Anderson, Banta <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0023303 SR0082433 SC061 08/13/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />