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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ <br /> COUNTY— <br /> Time <br /> OUNTY <br /> Tl <br /> E"r : <br /> ^'•ti7F Opt�� Greotness grows here, 1am <br /> Timee OOutut: 122::15 15 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-MORADA MIDDLE SCHOOL Date: 09/27/2018 <br /> Address: 5001 EASTVIEW DR, STOCKTON 95212 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone: (209)331-7179 <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: Alicia Bjornson Expiration Date:June 07,2021 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 140°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 101 IF <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 D Cres Cor warmer Right--Kitchen--170.00°F Hand sink--By office--105.00°F <br /> Glo-Ray Pizza warmer Left--Kitchen--140.00°F Hand sink--Staff rest room--100.00°F <br /> Glo-Ray Pizza warmer Right--Kitchen--140.00°F 2 comp sink--122.00°F <br /> Walk in cooler--40.00°F Bev Air cooler Milk--Dining--40.00°F <br /> 2 D Cres Cor warmer Left--Kitchen--163.00°F <br /> NOTES <br /> Sanitizer bucket is set up with QUAT 200ppm. <br /> Time log for salad bar is maintained. <br /> No major violations were observed. <br /> OIR emailed to coliver@lodiusd.net; abjornson@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: g0 Name and Title: Alicia Bjornson, Kitchen Manager <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0002753 PRO160899 SCO01 09/27/2018 <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 />