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BUDDY HOLLY
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1600 - Food Program
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PR0526735
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Entry Properties
Last modified
10/28/2019 10:51:08 AM
Creation date
1/29/2019 2:51:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526735
PE
1632
FACILITY_ID
FA0018101
FACILITY_NAME
LODI USD-GEORGE LINCOLN MOSHER
STREET_NUMBER
3220
STREET_NAME
BUDDY HOLLY
STREET_TYPE
DR
City
STOCKTON
Zip
95212
APN
12209033
CURRENT_STATUS
01
SITE_LOCATION
3220 BUDDY HOLLY DR
P_LOCATION
02
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Time In: 11-00 am <br /> Time Out: 12:00 pm <br /> Pquin/ San Joaquin County <br /> a. Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., ;a• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �rFORN <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-GEORGE LINCOLN MOSHER Date: 04/04/2017 <br /> Address: 3220 BUDDY HOLLY DR, STOCKTON 95212 <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 /> #22 Disposal of Sewage/Wastewater <br /> OBSERVATIONS:3-comp sink 116 F. Provide 120 For higher for warewash <br /> Right side staff restroom 68 F; instant water heater did not come on during this inspection. Repair/adjust instant water <br /> heater to provide 100 to 108 F for restroom, and until then, use only the left side staff restroom. <br /> CALCODE DESCRIPTION:All liquid waste must drain to an approved fully functioning sewage disposal system. (114197) <br /> #26 Approved Thawing Methods <br /> OBSERVATIONS:Precooked packaged Ham defrosting on warewash table. Thaw under running water, in refrigerator, or <br /> by microwave. <br /> CALCODE DESCRIPTION:Food shall be thawed under refrigeration completely submerged under cold running water of sufficient velocity <br /> to flush loose particles in microwave oven during the cooking process. (114018, 114020, 114020.1) <br /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Warewash machine sanitizing by heat out of order(management has already placed service request <br /> order). Repair to provide heat sanitizing 160 F or higher, and until then sanitize manually 200 ppm quat. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Debbie Sao Expiration Date:June 02,2019 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 116°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 110°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> FA0018101 PR0526735 SC101 04/04/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OIR <br />
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