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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> 7fa�p[r+85S grows here. TimeOut: <br /> In: 9:30 am <br /> Time Out: 10:19 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LOIS BORCHARDT Date: 04/26/2021 <br /> Address: 275 CULBERTSON DR, 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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:Observed the hot water at the 3-compartment reaching the minimum 120F then dropping to a lower <br /> temperature range. It is unclear if the water heater is in need of repair, but correct to ensure 120F hot water is able to be <br /> maintained during ware-washing. Correct as soon as possible. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Cynthia Parker Expiration Date:January 05,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 Dr Crescor hot hold#1 Cafeteria--170.00°F Delfield milk cooler--Cafeteria--41.00°F <br /> 2 Dr Crescor hot hold#2--Cafeteria--171.00°F Hand washing sink--Restroom--100.00°F <br /> NOTES <br /> Spring routine inspection. <br /> The facility prepares hot and cold lunches for the students on site. <br /> Lunch is distributed from 10:30am to 12:30pm. <br /> The food is ordered from Sysco and the Lodi Unified School District Warehouse. <br /> All utensils are disposal at this time. <br /> Note: The heat sanitizer(dishwasher)is currently not in use at this time, contains a sign stating"OUT OF ORDER/DO NOT <br /> USE" <br /> Official inspection report emailed. <br /> FA0015743 PR0523314 SC101 04/26/2021 <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 />