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SAN J O A Q U I N Environmental Health Department <br /> C_uoAIY <br /> •- Time In: 9.30 am <br /> GrPOCr1t'ss glows fires <br /> Time Out: 10:25 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-HOUSTON SCHOOL Date: 05/15/2018 <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 -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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Carol Tzimbal Expiration Date:June 02,2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 113°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Staff rest room--102.00°F Milk cooler--44.00°F <br /> Mop sink--130.00°F 2 D Traulsen cooler--38.00°F <br /> 2 D Cres Cor warmer--163.00°F <br /> NOTES <br /> Kitchen has two 2 comp sink, one for hand wash and the other is for ware wash. <br /> Food is delivered from LUSD central kitchen. <br /> Time log for salad bar is maintained. <br /> No major violations observed. <br /> OIR emailed to Cindy oliver 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 reinspecttiionn.is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Carol Tzimbal, Kitchen manager <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0000244 PRO161846 SCO01 05/15/2018 <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 />