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SAN J U A Q U I N Environmental Health Department <br /> COUNTY <br /> G7reotness grows here, Time In: 1157 am <br /> Time Out: 12:32 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-NICHOLS SCHOOL Date: 09/16/2020 <br /> Address: 1301 S CRESCENT AVE, LODI 95240 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone: (209)331-7121 <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 /> #33 Nonfood Contact Surfaces Clean <br /> OBSERVATIONS:Observed dust accumulation in air vent above Blodgett oven. Clean. <br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c)) <br /> #47 Signs Posted; Last Inspection Report Available <br /> OBSERVATIONS:Hand wash sign is lacking in restroom. Provide. <br /> CALCODE DESCRIPTION:Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br /> hands after using the restroom(113953.5)(b)No smoking signs shall be posted in food preparation, food storage, warewashing, and <br /> utensil storage areas(113978). (c)Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br /> such as salad bars and buffets. (d)Any food facility constructed before January 1, 2004, without public toilet facilities,shall prominently <br /> post a sign within the food facility in a public area stating that toilet facilities are not provided(113725.1, 114381 (e)). Proper posting of <br /> nutritional information at facilities with 20 or more chains in California(114094). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Carol Palmer Expiration Date:July 19,2022 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 129°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 119°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hot water--prep sink(left)--122.00°F fish sandwich--warmer--155.00°F <br /> warm water--hand sink restroom--119.00°F milk box--36.00°F <br /> walk-in--41.00°F warn water--hand sink next to office--121.00°F <br /> hot water--2 comp(right side)--129.00°F <br /> NOTES <br /> Lunches are given out on M.W,F at double doors near walk-in freezer. <br /> FA0000312 PRO160231 SCO01 09/16/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 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 />