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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> .r{ � 7fa�plr+fSS grows here. Time In: 1000 am <br /> Time Out: 10:54 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-JOE SERNA SCHOOL Date: 11/04/2021 <br /> Address: 4600 E ACAMPO RD, LODI 95240 <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 /> #7 Hot and Cold Holding Temperatures <br /> OBSERVATIONS:The Beverage Air milk cooler#1 was 49 F. Provide 41 F or below today. <br /> CALCODE DESCRIPTION:Potentially hazardous foods shall be held at or below 41/45°F or at or above 135°F. (113996, 113998, <br /> 114037, 114343(a)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Jose Villanueva Expiration Date:July 19,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Beverage Air milk cooler#2--multi-purpose room--41.00°F Beverage Air milk cooler#1 --multi-purpose room--49.00°F <br /> hand sink--staff restroom--100.00°F 2 dr Crescor warmer--multi-purpose room--165.00°F <br /> NOTES <br /> Routine inspection. <br /> Facility currently receives premade/packaged food items from the Lodi Unified School District Central Kitchen. <br /> The food items are delivered at 9:30 AM in insulated containers and they are kept warm on site with warmers. <br /> Facility shares multi-purpose room with Lodi USD Houston School. <br /> Lunch is distributed from 11:15 AM- 12:30 PM. <br /> No warewashing occurs on site, utensils are disposable and containers go back to the Central Kitchen. <br /> Sanitizer bucket-300 ppm quat. <br /> Discussed report with Cindy Oliver. <br /> No signature captured. <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: <br /> EH Specialist: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0025517 PR0544888 SCO01 11/04/2021 <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 />