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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLf•+@SS 5rws hemTime In: 1-40Irn <br /> Time Out: 2:07 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: VAN BUSKIRK COMMUNITY CENTER Date: 10/03/2022 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Stephanie House Expiration Date:January 28,2024 <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 /> 1 door Atosa-air temp--43.00°F 1 door Frigidaire--35.00°F <br /> milk carton at 1 door Atosa--40.00°F <br /> NOTES <br /> quat sanitizer and quat sanitizer test strips are available <br /> No Supper program this week and possibly next week(food for Supper Program comes from Lodi USD-off for the next two <br /> weeks)Supper program is Mon-Fri at 4:30p <br /> Tu, Th& Fri: Senior congregate meal at 11-11:30a(Food comes from SJ General Hospital-arrives around 9-10:30a) <br /> No signature obtained <br /> Report typed up in the office 2:44p-2:55p <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/Sheldon Robinson, SRA <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0002599 PRO161377 SC101 10/03/2022 <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 />