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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 11.00 am <br /> •'C1FaR�;` G9reotness grows here. <br /> Time Out: 11:50 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LIVE OAK SCHOOL Date: 04/23/2021 <br /> Address: 5099 E BEAR CREEK 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 (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: Kristyne Frey Expiration Date:July 19,2023 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Beverage air milk cooler--cafeteria--40.00°F 2 Dr Crescor hot hold--Cafeteria--161.00°F <br /> Walk-in cooler--39.00°F <br /> NOTES <br /> Spring routine inspection. <br /> The facility is currently serving cold and hot meals to students on site. <br /> The food items are delivered from the Lodi Unified School District central kitchen and Sysco. <br /> Lunch is provided for the students between 11:00am- 12:15pm. <br /> Sanitizer spray: 300 PPm QUAT <br /> Official inspection report emailed. <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: Kristyne Mayers, Kitchen manager <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0001138 PRO161849 SC101 04/23/2021 <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 />