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S A N J 0 A Q U I N Environmental Health Department <br /> COUNTY <br /> ME�� _¢ lif�OfIiCSS gtOwS here. <br /> Time In: 9.45 am <br /> st1Far� Time Out: 10:24 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-PARKLANE SCHOOL Date: 05/04/2018 <br /> Address: 8405 TAM O'SHANTER DR, STOCKTON 95210 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone: (209)331-7000 <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 /> #30 Food Storage/Display Properly Labeled <br /> OBSERVATIONS:Observed container of dry pasta that is covered with aluminum foil in dry storage room. Provide a seal <br /> able container for this food item. <br /> CALCODE DESCRIPTION:Food shall be stored in approved containers and labeled as to contents. Food shall be stored at least 6" <br /> above the floor on approved shelving. (114047, 114049, 114051, 114053, 114055, 114067(h), 114069(b)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Kathryn Kraus Expiration Date:January 05,2023 <br /> Warewash Chlorine(Cl): ppm Heat: 170°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 /> walk-in--41.00°F fish patty--warmer cabinet near oven--173.00°F <br /> milkbox--41.00°F hand sink--next to 2 comp--105.00°F <br /> 2 comp(warewash)--125.00°F hand sink--Mene's restroom(office)--100.00°F <br /> cheese stick--warmer cabinet near serve line--175.00°F hand sink--Women's restroom(office)--101.00°F <br /> NOTES <br /> sanitizer bucket 300ppm (quat) <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: Kathy Kraus,Acting Manager Kitchen <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0002827 PRO160900 SCO01 05/04/2018 <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 />