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Time In: 12-15prn <br /> Time Out: 12:45 om <br /> �P.Q•u��.. P 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: 10/18/2017 <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 /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization <br /> OBSERVATIONS: <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized. (I 13984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101 (b-d), 114105, 114109, 114111, 114113, 114115(a,b, d), 114117, 114125(b), 114135, 114141) <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): 0 ppm Heat: °F Water/Hot Water Ware Sink Temp: 131 °F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 105°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> RR employee--105.00°F 2D Traulsen--40.00°F <br /> Mop--128.00°F 2D Cres Cor--135.00°F <br /> Milk Box--43.00°F 2-comp prep--125.00°F <br /> NOTES <br /> 2nd Routine 101. <br /> Notes: <br /> Food is delivered from LUSD Central Kitchen. Some warewashing (utensils, containers)are conducted on site. <br /> Facility serves breakfast(about 0830), lunch (about 1150), and supper(1500). Transport records show loading time from 6 <br /> am to about 1 pm. Ensure potentially hazardous food (PHF)that uses time control only is served within 4 hours. <br /> OIR emailed to Cindy Oliver and ctzimbal@lodi.net <br /> FA0000244 PRO161846 SC101 10/18/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OIR <br />