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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> .r{ � 7fa�p[r+85S grows here. Time In: 1100 am <br /> Time Out: 12:00 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LIVE OAK SCHOOL Date: 10/26/2021 <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 -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 /> #47 Signs Posted; Last Inspection Report Available <br /> OBSERVATIONS:The left restroom was lacking a hand wash sign. Provided hand wash sticker to kitchen manager. <br /> Corrected on site, sticker was posted in left restroom. <br /> CALCODE DESCRIPTION:Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br /> hands after using the restroom(113953.5)(b)No smoking signs shall be posted in food preparation, food storage, warewashing, and <br /> utensil storage areas(113978). (c)Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br /> such as salad bars and buffets. (d)Any food facility constructed before January 1, 2004, without public toilet facilities,shall prominently <br /> post a sign within the food facility in a public area stating that toilet facilities are not provided(113725.1, 114381 (e)). Proper posting of <br /> nutritional information at facilities with 20 or more chains in California(114094). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Michael Delgado Expiration Date:June 05,2024 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--left staff restroom--100.00°F Beverage Air milk cooler--cafeteria--40.00°F <br /> walk-in cooler--39.00°F hand sink--right staff restroom--100.00°F <br /> 2 dr Crescor warmer--kitchen 170.00°F 2 dr Crescor warmer--cafeteria--165.00°F <br /> NOTES <br /> Routine inspection. <br /> Sanitizer bucket-300 ppm quat. <br /> Quat and thermal test strips available on site. <br /> The facility prepares cold and hot lunches on site. Lunch is served between 10:45 AM - 12:15 PM. <br /> The facility orders food items from SYSCO and Lodi Unified School District Warehouse. <br /> The facility orders bread from Goldstar. <br /> Discussed report with Michael Delgado. <br /> No signature captured. <br /> Maintain a copy of this report on site. <br /> FA0001138 PRO161849 SCO01 10/26/2021 <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 <br />