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SANOAQU I N Environmental Health Department <br /> COUNT -( IY <br /> Crearrie3S grows here, Time In: 1.50 pm <br /> Time Out: 2:22 om <br /> Food Program Official Inspection Report <br /> Name of Facility: VAN BUSKIRK COMMUNITY CENTER Date: 04/10/2019 <br /> Address: 734 HOUSTON AVE, STOCKTON 95206 <br /> Owner/Operator: CITY OF STOCKTON 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: Ashneel Singh Expiration Date: May 01,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door Atosa--39.00°F restroom hand sinks--100.00°F <br /> 1 door Frigidaire--41.00°F <br /> NOTES <br /> quat sanitizer and test strips are available <br /> pest control/monthly <br /> Food for the supper program is delivered around 4:20pm/supper is served around 4:30pm <br /> Food comes from Lodi Unified School District main kitchen <br /> No student food at the time of the inspection <br /> Supper program food is pre-portioned and pre-wrapped <br /> Senior lunch is served on Tues&Thurs at 1 lam. <br /> Food for this program comes from the county hospital/food is scooped and served <br /> No senior program food on site at time of inspection <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 reinspectionisrequired,fees will be assessed at the current hourly rate. <br /> d <br /> Received by: Name and Title: Stephanie House, Rec Coordinator <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0002599 PRO161377 SCO01 04/10/2019 <br /> EHD 16-23 Rev.06/30/15 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.sjcehd.com <br />