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Time In: 9.57 am <br /> Time Out: 10:30 am <br /> PquitY San Joaquin County <br /> )O. .QOG <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq.. �a• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �/PORN <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-WOODBRIDGE SCHOOL Date: 05/05/2017 <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 (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 /> #29 Toxic Substances Properly Identified/Stored/Used <br /> OBSERVATIONS:Observed cleaner stored next to salt on storage rack above 3 comp sink <br /> Store cleaner separate from food items. <br /> Store cleaner in a different location. <br /> CALCODE DESCRIPTION:All poisonous substances, detergents, bleaches, and cleaning compounds shall be stored separate from food, <br /> utensils,packing material and food-contact surfaces. (114254, 114254.1, 114254.2) <br /> #33 Nonfood Contact Surfaces Clean <br /> OBSERVATIONS:Food debris observed at the bottom of milk box(left side milk box). Clean. <br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: on file Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door Traulsen refrigerator--next to warmer--38.00°F hand sink--101.00°F <br /> 3 comp 129.00°F pulled pork--cabinet(right)--160.00°F <br /> milkbox- right--41.00°F milkbox--left--40.00°F <br /> hand sink--Women's(staff restroom)--113.00°F hand sink--Men's(staff resrroom)--109.00°F <br /> NOTES <br /> sanitizer bucket 200ppm (quat) <br /> FA0003187 PRO160238 SC101 05/05/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OIR <br />