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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 10.40 am <br /> •'C1FaR�;` Greotness grows here. <br /> Time Out: 11:24 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LINCOLN TECH ACADEMY Date: 11/03/2021 <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 Reiger 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 sink--room#30 adult restroom--100.00°F <br /> NOTES <br /> Routine inspection. <br /> Hot and cold meals are provided in room#30(preschool center)of the facility. <br /> Facility receives prepmade/packaged food items from Lodi Unified School District Central Kitchen. Breakfast food items are <br /> delivered at 7:30 AM and lunch food items are delivered at 10:30 AM. <br /> Food items are kept in the insulated containers they are delivered in until they are served. <br /> Food is only served at the preschool location. <br /> No warewashing or food prep occurs on site site.All utensils/trays are disposable. <br /> A Virex 256 spray bottle is used to sanitize surfaces, it is 300 ppm quat. <br /> Discussed report with Carrie Griffin. <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 /> FA0022654 PR0539589 SC101 11/03/2021 <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 />