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SAN 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-DAVIS SCHOOL, 5224 E MORADA LN, STOCKTON 95212 <br /> #44 Premises: Clean/Litter Free; Vermin-Proof <br /> OBSERVATIONS:Observed rodent droppings on some canned tomatoes in dry storage room. Clean and sanitize. Provide <br /> effective pest control. <br /> Observed a gap at the door leading to the dry storage area. Provide effective weather stripping or similar material to prevent <br /> entrance of rodents. <br /> CALCODE DESCRIPTION:The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof. (114067 6), 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Observed debris in vent in women's restroom. Clean. <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Mayesah Matulac Expiration Date:June 07,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 126°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Walk In--In storage room--40.00°F Hand Sink--Near entrance of kitchen--86.00°F <br /> Milk box--Outside of kitchen entrace--33.00°F 3 Compartment Sink--Behind prep counter--126.00°F <br /> Hand sink--Women's restroom--100.00°F Mop Sink--Storage room--120.00°F <br /> Hand sink--Men's restroom--100.00°F In counter prep sink--Middle of kitchen--124.00°F <br /> NOTES <br /> Sanitizer bucket 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: Mayesah Matulac, Manager, Sig not c <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0002855 PRO160895 SCO01 10/27/2020 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 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 />