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Time In: 1010 am <br /> Time Out: 10:49 am <br /> San Joaquin County <br /> z� Environmental Health Department <br /> N: X <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 4��FOR� <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-MORADA MIDDLE SCHOOL Date: 10/26/2015 <br /> Address: 5001 EASTVIEW 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 -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 02,2016 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 134°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 108°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> RR-- 100.00° F Walk In--kitchen--40.00° F <br /> Hatco-- 141.00°F 2D Cres Cor right -kitchen-- 190.00°F <br /> 2D Cres Cor left-- kitchen-- 179.00°F 2nd Handwash--kitchen-- 100.00° F <br /> Milkbox--36.00°F <br /> NOTES <br /> Sanitizer Bucket 200 ppm quat. <br /> No violations were observed <br /> 71®,eo <br /> F <br /> u e•m•r i•n�•c■ <br /> r •ct umvr•wr. <br /> na.o••n•cni•„•e <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: Alicia Bjornson, Kitchen Manager <br /> EH Specialist: JEFFREY WONG Phone: (209) 468-0335 <br /> FA0002753 PRO160899 SCO01 10/26/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />