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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 10.35 am <br /> Time Out: 11:01 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-WASHINGTON SCHOOL Date: 04/15/2021 <br /> Address: 831 LOCKEFORD ST, LODI 95240 <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: Angela Lumpkin Expiration Date:June 07,2021 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 107°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk-in cooler--41.00°F restroom hand sink--100.00°F <br /> CresCor hot hold cabinet(kitchen)--141.00°F--air temp/no 2 door Traulsen--41.00°F <br /> food at time of inspection <br /> burrito at hot hold cabinet(in cafeteria)--162.00°F Bev Air milk cooler--37.00°F <br /> NOTES <br /> Lunch service begins at 10:30am/students are served in the cafeteria (breakfast delivered to the classroom) <br /> food at salad bar is pre-portioned &pre-packaged/wrapped <br /> wiping cloth bucket 300 ppm Quat/sanitizer test strips are available <br /> No signature obtained/COVID-19 <br /> Report typed at the office 2:20p-2:27p <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/Angela Lumpkin, Mgr <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0000538 PRO160236 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 />