Laserfiche WebLink
: 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, am <br /> Timee OOutut: 100:3:3 0 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-ANSEL ADAMS ELEMENTARY Date: 03/29/2019 <br /> Address: 9275 GLACIER POINT 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 (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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Mary Patterson Expiration Date:June 02,2020 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 140°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Bev Air cooler left side--Dining--37.00°F Metro C 200 warmer--Dining--160.00°F <br /> Walk in cooler--41.00°F Prep sink--137.00°F <br /> 2 D Cres Cor warmer--Dining--155.00°F Bev Air cooler right side--Dining--36.00°F <br /> Metro C200 warmer--Kitchen--150.00°F Hand sink--Employee rest room--110.00°F <br /> NOTES <br /> Sanitizer bucket is set up with QUAT 300 ppm. <br /> Salad bar time log is maintained. <br /> No major violations observed. <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 /> �k/u��" <br /> Received by: 111 Name and Title: Mary Patterson, Kitchen Manager <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0015582 PR0523085 SC101 03/29/2019 <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 />