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Time In: 1,58 pm <br /> Time Out: 2:24 ]7_ <br /> oR�4�N. San Joaquin County <br /> Environmental Health Department <br /> W. <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> {.... �� Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-CLAIRMONT SCHOOL Date: 10/29/2015 <br /> Address: 8282 LE MANS AVE,STOCKTON 95210 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone (209) 331-7000 <br /> Program Element: 1632 - EXEMPT FOOD <br /> Inspection Type: INSPECTION/REINSPECTION 1 hr minimum <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 <br /> health and have the potential to cause foodbome illness.All major violations must be corrected immediately. Non-compliance may warrant immediate <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> RR women -- 123.00° F <br /> NOTE <br /> This is a reinspection of the mice infestation and the women restroom hotwater. Both corrected. <br /> School is using Delk Pest Control. Two Intergrated Pest Management sessions by Delk have been completed since the last <br /> inspection, and will continue to monitor at a weekly basis until problem has been considered mitigated between the school an( <br /> the contractor. <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: C-3— Name and Title: Nicholas La Mattina, Food Service S <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0002811 PRO162093 SC333 10/29/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />