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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> .r{ � 7fa�p[r+85S grows hire, Time In: 1130 am <br /> Time Out: 12:20 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: NORTHEAST COMMUNITY CENTER Date: 12/31/2020 <br /> Address: 2885 E HARDING WAY, STOCKTON 95205 <br /> Owner/Operator: HSA-AGING&COMMUNITY SERVICES Telephone: (209)468-3679 <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: Linda J.Butler Expiration Date:January 30,2025 <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 /> Mop sink-- 120.00°F Hand washing sinkq--Restroom--100.00°F <br /> NOTES <br /> Routine inspection. <br /> The facility is not preparing food on site, all prepared food for conjugate meals are delivered by the San Joaquin County <br /> Hospital and dispensed on site. <br /> The facility dispenses dry and frozen food products every Monday,Wednesday and Friday that is brought from donations and <br /> a warehouse used by the community center as a donation destination. <br /> All frozen and dry food related items are stored on site inside of commercial freezers and a dry storage holding area. <br /> Orkin pest control serves the facility, performed services two weeks prior to routine inspection. <br /> Observed no major violations at this time. <br /> Ok to issue permit. <br /> Official inspection report emailed. <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: Allen Ramos, Community Recreation <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0013562 PR0517716 SCO01 12/31/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />