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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ <br /> COUNTY <br /> — <br /> Time In: 1 <br /> ^'•tipm <br /> 7FOpt�� Greotness grows here. :1 0 <br /> Time Out: 1:10 amrn <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-VICTOR SCHOOL Date: 09/19/2018 <br /> Address: 17670 BRUELLA RD, VICTOR 95253 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone: (209)331-7179 <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 /> #39 Thermometers Provided/Accurate/Easily Visible <br /> OBSERVATIONS:Thermometer in the 2 D Traulsen cooler is not accurate. Provide new thermometer in 3 days. <br /> CALCODE DESCRIPTION:An accurate easily readable metal probe thermometer suitable for measuring temperature of food shall be <br /> available to the food handler. A thermometer+/-2#F shall be provided for each hot and cold holding unit of potentially hazardous foods <br /> and high temperature warewashing machines. (114157, 114159) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Kathy Lane Expiration Date:June 02,2019 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Staff rest room--108.00°F 1 D Cres Cor warmer--159.00°F <br /> 2 D Traulsen cooler--39.00°F <br /> NOTES <br /> No ware wash on site. <br /> Food is delivered from LUSD Central Kitchen. <br /> Time log is maintained for the salad bar. <br /> OIR emailed to coliver@lodiusd.net; kafuqua@lodiusd.net <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 /> I <br /> Received by: Name and Title: Kathy Fuqua, Kitchen Manager <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0006502 PR0505059 SC101 09/19/2018 <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 />