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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLf•+@SS 5rws hemTime In: 9.55 am <br /> Time Out: 10:24 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-ELLERTH LARSON SCHOOL Date: 04/15/2021 <br /> Address: 2375 GIANNONI WAY, 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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Antoinette Yabumoto Expiration Date: May 29,2025 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> restroom hand sink-- 111.00°F walk-in cooler--39.00°F <br /> Delfield milk cooler--40.00°F <br /> NOTES <br /> Lunch service begins at 11:10am/students are served in the cafeteria <br /> wiping cloth bucket 200 ppm Quat <br /> no hot food at time of inspection/quesadillas going into the oven <br /> No signature obtained/COVID-19 <br /> Report typed at the office 2:14p-2:19p <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: Discussed w/Debbie Watson, Mgr <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0016130 PR0523991 SC101 04/15/2021 <br /> EHD 16-23 Rev.09/16/2020 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.sjgov.org/EHD <br />