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SAN JOAQUIN Environmental Health Department <br /> ;kiNTY <br /> .•.:t:,. ... <br /> Time In: 10:57 am <br /> Time Out: 11:33 em <br /> Food Program Official Inspection Report <br /> Name of Facility: MARY GRAHAM CHILDREN'S SHELTER Date: 04/09/2021 <br /> Address: 6861 W MARY GRAHAM LN,FRENCH CAMP 95231 <br /> Owner/Operator: SAN JOAQUIN CO HUMAN SERVICE Telephone: (209)468-6966 <br /> Program Element 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION(Chargeable) <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 compitance may warrant immediate closure of <br /> the food facility. <br /> #35 EquipmenUUtensils Approved and in Good Repair <br /> OBSERVATIONS:The 1 door Maytag at Cottage A West is leaking water. Identify source of leak and repair ASAP. <br /> Discard any open food from this unit that may have become wet Correct today. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair.(114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards.(114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> - OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety CerOflcate: Jason Eels Expiration Date:July 28,2023 <br /> Warewaah Chlorine(00: ppm Heat: °F Water/Hot Water Were Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM—LOCATION—TEMP e F—COMMENTS <br /> Cottage A West 1 door Maytag—33.000 F 1 door Kenmore at pantry—37.000 F <br /> Cottage B West 1 door Maytag—41.00°F hand sinks at cottages(x4)—120.00°F <br /> Cottage A East 1 door Maytag—36.000 F Cottage B East 1 door Maytag—41.00°F <br /> 2 door Arctic Air freezer at pantry—0.30°F <br /> NOTES <br /> Lunch comes daily from SJ General Hospital at 11:30am/dinner 3 nights a week from the hospital <br /> warewashing occurs at the hospital <br /> No signature obtained I COVID-19 <br /> Report typed up at the office 3:31 -3:38p <br /> FA0000094 PRO161147 SC101 04/09/2021 <br /> EHD 16-23 Rev.09/162020 Page 1 of 2 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />