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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Tl : 10 <br /> E"ram <br /> ^'•ti7F Opt�� Greotness grows here. <br /> Timee OOutut: 10::4848 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-MILLSWOOD MIDDLE SCHOOL Date: 10/22/2019 <br /> Address: 233 MILLS AVE, LODI 95240 <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: Jose Villanueva Expiration Date:July 19,2023 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 122°F <br /> FOOD ITEM--LOCATION--TEMP°IF--COMMENTS <br /> 2 comp sink-- 121.00°F 2 D Cres Cor warmer#1 --Kitchen--145.00°F <br /> Milk cooler--Dining--42.00°F Hand sink--Rest room--101.00°F <br /> 2 D Cres Cor warmer#2--Kitchen--152.00°F Mop sink--120.00°F <br /> Walk in cooler--41.00°F 2 D Cres Cor warmer#3 -Dining--149.00°F <br /> NOTES <br /> Sanitizer bucket is set up with QUAT 300 ppm. <br /> QUAT test strips are available. <br /> Salad Bar time log is maintained. <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 /> V� <br /> Received by: Name and Title: Jose Villanueva, Kitchen Manager <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0015558 PR0523034 SCO01 10/22/2019 <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 />