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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160228
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COMPLIANCE INFO_2021
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Last modified
12/8/2021 8:37:16 AM
Creation date
4/27/2021 7:54:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160228
PE
1632
FACILITY_ID
FA0000915
FACILITY_NAME
LODI USD-LODI HIGH SCHOOL
STREET_NUMBER
3
Direction
S
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
03511012
CURRENT_STATUS
01
SITE_LOCATION
3 S PACIFIC AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 923 am <br /> Time Out: 10:07 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LODI HIGH SCHOOL Date: 04/22/2021 <br /> Address: 3 S PACIFIC AVE, LODI 95242 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone: (209)331-7000 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Dana Sauerland Expiration Date:July 19,2022 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Multiteria cooler in teacher's lounge--41.00°F Line A cold unit--33.00°F <br /> CresCor Warmer-Line A(air temp-no food)--191.00°F Line B cold unit--41.00°F <br /> walk-in cooler--36.00°F kitchen warmer(air temp-no food)--179.00°F <br /> 1 door Dasani True-snack bar--41.00°F macaroni&cheese-out of oven--161.00°F <br /> 1 door True-teacher's lounge--41.00°F Warmer-Line B(air temp-no food)--187.00°F <br /> snack bar warmer(air temp-no food)--151.00°F 1 door Traulsen-snack bar--38.00°F <br /> restroom hand sink--100.00°F <br /> NOTES <br /> wiping cloth buckets 200 ppm Quat/sanitizer test strips are available <br /> Lunch is served at 10:36am in the cafeteria and in the snack bar <br /> All food is prepped on site/no transport <br /> No signature obtained/COVID-19 <br /> Report typed up at the office 2:33p-2:45p <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/Sherene Villanueva, Ca <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0000915 PRO160228 SCO01 04/22/2021 <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 />
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