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Environmental Health Department <br />Time In: <br />11:50 am <br />11:00 am <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 331-7000 Owner/Operator: LODI UNIFIED SCHOOL DISTRICT <br />Inspection Type: ROUTINE INSPECTION (Chargeable) <br />Address: 5099 E BEAR CREEK RD, LODI 95240 <br />Date: 04/23/2021Name of Facility: LODI USD-LIVE OAK SCHOOL <br />Food Program Official Inspection Report <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 160 120 <br /> 100 <br />Kristyne Frey July 19, 2023 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Beverage air milk cooler -- cafeteria -- 40.00º F 2 Dr Crescor hot hold -- Cafeteria -- 161.00º F <br />Walk-in cooler -- 39.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Spring routine inspection. <br />The facility is currently serving cold and hot meals to students on site. <br />The food items are delivered from the Lodi Unified School District central kitchen and Sysco. <br />Lunch is provided for the students between 11:00am - 12:15pm. <br />Sanitizer spray: 300 PPm QUAT <br />Official inspection report emailed. <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: <br />EH Specialist:Phone:(209) 616-3023 <br />Kristyne Mayers, Kitchen manager <br />VICTOR ACEVEDO <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0001138 PR0161849 SC101 04/23/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD