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Time In: 12:05 pm <br /> Time Out: 12:40 pm <br /> San Joaquin County <br /> ''.X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ip 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-DAVIS SCHOOL Date: 11/16/2015 <br /> Address: 5224 E MORADA LN,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: Annabelle Terra Expiration Date:June 08,2016 <br /> Warewash Chlorine(Cl): ppm Heat: 160 IF Water/Hot Water Ware Sink Temp: 131 OF <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> 3-comp--kitchen-- 131.00°F Walk In--41.00°F <br /> 1-comp--dry storage side-- 124.00°F 2D Cres Cor--dining-- 172.00°F <br /> 2D Cres Cor--kitchen-- 180.00°F Norlake milkbox--45.00°F <br /> prep sink middle--kitchen-- 100.00°F Mop-- 120.00°F <br /> RR men-- 128.00°F RR women-- 124.00°F <br /> handwash-- 100.00°F <br /> NOTES <br /> sanitizer bucket 300 ppm quat. <br /> No violations observed. Continue to maintain documentation for time control of the PHF served within 4 hours at the salad <br /> bar. <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 /> / <br /> Received by. al, Name and Title: Annabelle Terra, Kitchen Manager <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0002855 PRO160895 SCO01 11/16/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />