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SIU I Environmental Health Department <br /> - i CUNTY I <br /> Greotne55 grows here Time In: 11.40 am <br /> Time Out: 11:55 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LUSD-LINCOLN ELEMENTAR Date: 03/14/2018 <br /> Address: 6910 GETTYSBURG PL, STOCKTON 95207 <br /> Owner/Operator: LINCOLN UNIFIED SCHOOL DIST Telephone: (209)953-8700 <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: Hermina L Rodriguez Expiration Date:August 03,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 118°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> crescor--kitchen--160.00°F 2 door traulsen--kitchen--39.00°F <br /> crescor--kitchen--145.00°F true--lunch room--38.00°F <br /> norlake--kitchen--41.00°F <br /> NOTES <br /> No Violations <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: Hermina L Rodriguez,food service <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> FA0002790 PRO160360 SC101 03/14/2018 <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 />