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S A N J a A Q U I N Environmental Health Department <br /> COUNTY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: LODI USD-CREEKSIDE SCHOOL, 2515 ESTATE DR, STOCKTON 95209 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Barbara Thomas Expiration Date:June 05,2024 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 112°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 113°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Walk-in fridge--39.00°F Mens restroom--Next door to kitchen--112.00°F <br /> Ware wash 3 comp sink--120.00°F Handwash--120.00°F <br /> Preperation 3 comp sink--Near Handwash--122.00°F Womens restroom--Next door to kitchen--113.00°F <br /> NOTES <br /> Food served Monday,Wednesday, and Friday 10:30-4:00. <br /> Sanitizer buckets 300-400ppm. <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: Barbra Thomas Manger, Sig not capt <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0001799 PRO162094 SCO01 09/22/2020 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />