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Program Element: 1602 - FOOD CONSULTATION <br />Telephone: (940) 295-7135 Requestor: CLUB DEMONSTRATION SERVICES INC., CLUB DEMONSTRATION SER <br />Inspection Type: 061 - CONSULTATION <br />Address: 3250 W GRANT LINE RD , TRACY 95304 <br />Date: 12/09/2021Name of Facility: CLUB DEMONSTRATION SERVICES INC. <br />Food Program Service Request Inspection Report <br />10:41 am <br />10:19 am <br />Time Out: <br />Time In: <br />Request #: SR0084516 <br />Environmental Health Department <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 400 <br /> 133 <br /> 133 <br />Erna Guerrero September 01, 2026 <br />vegetable soup for demo -- 38.00º F water for boiling raviolis -- 211.00º F <br />mashed potatoes for demo -- 38.00º F lobster raviolis at demo -- 163.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />quat sanitizer test strips are available <br />inspection to permit CDS <br />Employees demonstrate 9:45am-3:50pm (15 minute break and 30 minute lunch) <br />OK to permit as a 1613 once the annul permit fee is paid ($350) <br />No signature obtained <br />Report typed at the office 3:46-3:54pm <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: <br />EH Specialist:Phone:(209) 616-3025 <br />discussed w/ Erna Guerrero, Event M <br />KADEANNE LINHARES <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br /> SR0084516 SC061 12/09/2021