Laserfiche WebLink
: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Tl <br /> E"r : <br /> ^'•ti7F Opt�� Greotness grows here. 1am <br /> Timee OOutut: 122::15 15 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-WOODBRIDGE SCHOOL Date: 04/11/2019 <br /> Address: 1290 LILAC ST, LODI 95242 <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: Maria Aguilar Expiration Date:July 19,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 109°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Women staff rest room--108.00°F Milk box right side--44.00°F <br /> Warmer--153.00°F 2 D Traulsen cooler--By office--41.00°F <br /> 2 D Traulsen cooler--41.00°F Hand sink--Men staff rest room--105.00°F <br /> Milk box left side--45.00°F 2 D Roast-N-Hold warmer--181.00°F <br /> NOTES <br /> Sanitizer bucket is set up with QUAT 300ppm. <br /> Transport log for loading temp and time is maintained.All potentially hazardous food is at 135F or above or 41 F or below. <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 /> Received by: Name and Title: Maria aguilar, Cafeteria Manager <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0003187 PRO160238 SCO01 04/11/2019 <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 />