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Time In: 930 am <br /> Time Out: 10:05 am <br /> oPQ•��IV <br /> .. San Joaquin County <br /> y� Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �..• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> '9Gl P Oftt� <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-HOUSTON SCHOOL Date: 11/04/2016 <br /> Address: 4600 E ACAMPO RD,ACAMPO 95220 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone: (209)331-7000 <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: Carol Tzimbal Expiration Date:June 02,2020 <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Milkbox--38.00°F 2-comp--123.00°F <br /> 2D Cres Cor--173.00°F RR staff--110.00°F <br /> 2D Traulsen--40.00°F 2-comp--120.00°F <br /> mop--123.00°F <br /> NOTES <br /> Sanitizer bucket: 200 ppm quat <br /> No violations observed. <br /> -Food comes from Lodi Middle; serving 0830 to 0915, 1150 to 1230, 1222 to 1252, and 3 to 330 pm. <br /> -Warewashing on site(trays and utensils). Dishwasher now functional. <br /> OIR emailed to Cindy Oliver inunn@lodiusd.net, and ctzimbal@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 /> Received by: Name and Title: carol tzimbal, cafeteria asst. 1 <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0000244 PRO161846 SC101 11/04/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />