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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLn@SS 5rws hemTime In: 1054 am <br /> Time Out: 11:22 am <br /> Food Program Official Inspection Report <br /> Name of Facility: RIVER ISLANDS TECHNOLOGY ACADEMY II Date: 09/12/2022 <br /> Address: 1175 MARINA DR, LATHROP 95330 <br /> Owner/Operator: BANTA ELEMENTARY SCHOOL DISTRICT Telephone: <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: Brandi Willingham Expiration Date:August 11,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 comp food prep sink-- 120.00°F 1 door Kelvinator"Teachers"--34.00°F--shredded cheese in <br /> unit <br /> melon-honeydew--71.00°F--just cut maintenance sink--127.00°F <br /> restroom hand sink--121.00°F mop sink(restroom)--123.00°F <br /> Bev Air milk cooler--40.00°F pizza-out of oven--173.00°F <br /> pizza-hot hold--143.00°F Avantco milk cooler--41.00°F <br /> melon-cantaloupe--74.00°F--just cut 1 door Kelvinator--41.00°F <br /> 2 door Traulsen--41.00°F <br /> NOTES <br /> wiping cloth bucket 400 ppm Quat/test strips are available <br /> Lunch is served 11a-1:30p <br /> Food is prepped and re-heated on site <br /> No signature obtained <br /> Report typed 4:51 p-5p <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/Brandi Willingham, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0023303 PR0540769 SCO01 09/12/2022 <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 />