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.�n..',•r. ,��� Q� Environmental Health Department <br /> aANLi��t +v C)U N T Y Time In: 10:00 am <br /> Time Out: 10:30 am <br /> Greatness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: FLORA ARCA MATA ELEMENTARY SCHOOL Date: 04/22/2021 <br /> Address: 2111 QUAIL LAKES DR , STOCKTON 95205 <br /> Requestor: AYA SHITANISHI, TETER, LLP Telephone: (559)437-0887 <br /> Program Element: 1601 - FOOD PLAN CHECK Request#: SR0080356 <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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS: Hot water is currently 106 F. Increase to 120 F or higher before kitchen opens. <br /> CALCODE DESCRIPTION:An adequate, protected,pressurized, potable supply of hot wafer and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Anthony Arigana Expiration Date: March 16, 2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F WaterlHot Water Ware Sink Temp: 106°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 146°F <br /> FOOD ITEM--LOCATION --TEMP°F --COMMENTS <br /> milk cooler -center--38.00°F walk in-- kitchen--39.00° F <br /> milk cooler -left--38.00° F milk cooler--right--38.00°F <br /> NOTES <br /> Ok to issue permit <br /> PE 1632 <br /> Fee Exempt <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 Cade. If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Anthony Arinaga, kitchen manager <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 616-3051 <br /> FA0024650 SR0080356 SC523 04122/2021 <br /> EHE 16-23 Rev.09/16/2020 Page 1 of 1 Food Program Service Request Inspection Report <br />