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Time In: 122 pm <br /> Time Out: 1:47 om <br /> �...Q .. C San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �..• P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> ��IFORN` <br /> Food Program Service Request Inspection Report <br /> Name of Facility: VAN BUSKIRK COMMUNITY CNTR Date: 12/06/2017 <br /> Address: 734 HOUSTON AVE , STOCKTON 95206 <br /> Requestor: Telephone: <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0078438 <br /> Inspection Type: 061 -CONSULTATION <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:The hot water at the hand sink in the kitchen and at the hand sinks in the restrooms are 55-60F. <br /> Increase hot water temp to 100F(minimum)ASAP. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water 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: n/a Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 55°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> This is a consultation to use the facility for the Super Program. <br /> Program runs 2:30p to 5:30p <br /> Supper will be served as soon as it arrives (around 3pm). <br /> Food will come from Lodi USD Main kitchen <br /> Food will be pre-packaged/pre-portioned <br /> No warewashing will occur on site. <br /> Kitchen has rubber base coving. <br /> A refrigerator will be used (not on site yet-awaiting delivery). <br /> OK to permit as a 1632. <br /> FA0002599 SR0078438 SC061 12/06/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program Service Request Inspection Report <br />