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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 11.30 am <br /> •'C1FaR�;` Greotness grows here. <br /> Time Out: 12:30 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: CHILDRENS HOME OF STOCKTON Date: 01/26/2021 <br /> Address: 430 N PILGRIM ST, STOCKTON 95205 <br /> Owner/Operator: CHILDRENS HOME OF STOCKTON Telephone: (209)466-0853 <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: 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: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Routine inspection. <br /> Facility is no longer operating due to program cancellation. There is no food prepared or served on site. <br /> Management state permit can be inactivated due to no preparation of food occurring on site. <br /> All refrigeration and ware-washing equipments remains on site at this time. <br /> 5021 document will be updated stating facility no longer in use and inactivation of Environmental Health permit. <br /> Official inspection report mailed to facility. <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: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0002241 PRO160454 SCO01 01/26/2021 <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 />