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`'.. ll � � �A�] I N Environmental Health Department
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<br /> 7fa�p[r+85S growshere. Time In: 9.00 am
<br /> Time Out: 9:54 am
<br /> Food Program Official Inspection Report
<br /> Name of Facility: LODI USD-MORADA MIDDLE SCHOOL Date: 10/20/2021
<br /> Address: 5001 EASTVIEW DR, STOCKTON 95212
<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 /> #21 Hot and Cold Potable Water Not Available
<br /> OBSERVATIONS:The water at the nonadjustable hand sink in the kitchen was 117 F. Provide warm water between
<br /> 100-108 F at this hand sink today.
<br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times.
<br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195)
<br /> #35 Equipment/Utensils Approved and in Good Repair
<br /> OBSERVATIONS:Observed some ice accumulation on ceiling and floor of walk-in freezer. Clean within 1 week and
<br /> maintain clean.
<br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment
<br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5,
<br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182)
<br /> #41 Plumbing Maintained;Approved Back Flow Device
<br /> OBSERVATIONS:The floor sink under the 3 comp sink was lacking a filter for the drain. Provide filter for floor sink drain
<br /> today. Corrected on site.
<br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required
<br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing
<br /> ordinances, shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose
<br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171,
<br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269)
<br /> OVERALL INSPECTION NOTES AND COMMENTS
<br /> OBSERVATIONS
<br /> Name on Food Safety Certificate: Alicia Bjornson Expiration Date:July 29,2026
<br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 130°F
<br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F
<br /> FA0002753 PRO160899 SCO01 10/20/2021
<br /> EHD 16-23 Rev.09/16/2020 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.sjgov.org/EHD
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