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Time In: 11-08 am <br /> Time Out: 11:59 am <br /> op.. .. San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... _ P• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 4�IFO'Rt� <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-CLAIRMONT SCHOOL Date: 04/08/2016 <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: 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 /> #23 Rodents, Insects or Animals Inside Facility <br /> OBSERVATIONS:Some glue traps have roaches/insects. Clean, and provide more pest control as needed. <br /> CALCODE DESCRIPTION:Each food facility shall be kept free of vermin:rodents(rats,mice), cockroaches,flies.(114259.1, 114259.4, <br /> 114259.5) <br /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS: Ice on floor in walk in freezer. Remove. <br /> Wall under sprayer by dishwasher has missing paint spots, and along the baseboard under 3-comp sink. Provide <br /> non-absorbent and cleanable surface in 1 month. <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, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Tammie Archer Expiration Date:June 02,2017 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 138°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Black Beans/Gabanzo beans(time control)--salad table-- dishwasher--160.00°F <br /> 43.00°F <br /> RR men--100.00°F Norlake milkbox(unplugged,then repliugged)--50.00°F <br /> 2D Cres Cor--dining--140.00°F 3-COMP--138.00°F <br /> 2D Cres Cor--kitcheb--136.00°F RR women--101.00°F <br /> WI--41.00°F milk--42.00°F <br /> HW--100.00°F <br /> NOTES <br /> FA0002811 PRO162093 SC101 04/08/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OIR <br />