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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 hire, Time In: 12-02 pm <br /> Time Out: 12:49 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LINCOLN TECH ACADEMY Date: 04/23/2021 <br /> Address: 542 E PINE ST, 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: Candy Rieger Expiration Date:July 19,2022 <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 /> Hand washing sink--Room#30-- 100.00°F <br /> NOTES <br /> Routine spring inspection. <br /> Hot and cold lunches are provided for room#30 (preschools center)of the facility and are brought from the Lodi Unified <br /> School District Central Kitchen. <br /> The food items are brought in insulated containers, in which both breakfast and lunch are provided for the children on site. <br /> The breakfast arrives around 7:30am, in which students consume as they arrive.The lunch is provided for the students as <br /> they leave the facility and is brought before dismissal. <br /> No other location on site is provided with meals and no food storage occurs on site. No ware-washing occurs on site as well. <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: Carrie Griffin,Teacher for Headstart <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0022654 PR0539589 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 />