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SANOAQU I N Environmental Health Department <br /> COUNT -( IY <br /> Crearrie3S grows here, Time In: 2-25 pm <br /> Time Out: 3:00 om <br /> Food Program Official Inspection Report <br /> Name of Facility: VAN BUSKIRK COMMUNITY CENTER Date: 10/16/2019 <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 (Chargeable) <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 /> #23 Rodents, Insects or Animals Inside Facility <br /> OBSERVATIONS:Observed dried rodent droppings on the floor underneath the 3-comp sink. Clean up dried rodent <br /> droppings and monitor facility daily for new activity. <br /> Facility has monthly pst control. <br /> CALCODE DESCRIPTION:Each food facility shall be kept free of vermin:rodents(rats,mice), cockroaches,flies.(114259.1, 114259.4, <br /> 114259.5) <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 /> restroom hand sinks--100.00°F 1 door Atosa 41.00°F <br /> 1 door Frigidaire--39.00°F <br /> NOTES <br /> quat sanitizer and test strips are available <br /> Senior lunch is served on Tues&Thurs at 11am <br /> Food for senior program comes from SJGH/food is scooped and served <br /> No senior program food on site at time of inspection <br /> Supper program food is delivered at 4:15pm/supper service at 4:30pm <br /> Supper program food comes from Lodi USD Main Kitchen <br /> No student food at time of inspection <br /> Supper program food is pre-portioned and pre-packaged <br /> FA0002599 PRO161377 SC101 10/16/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 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 />