Laserfiche WebLink
`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> � .` 7fa�p[r+85S growshere. Timeln: 9-15am <br /> Time Out: 10:20 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LOIS BORCHARDT Date: 11/03/2021 <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 -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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Observed ice accumulation on ceiling,fan, compressor pipe, and floor in walk-in freezer. Clean within 1 <br /> week and repair as necessary. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Doris Walker Expiration Date:July 29,2026 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Delfield milk cooler--cafeteria--40.00°F 2 dr Crescor warmer--kitchen,right-- 178.00°F <br /> walk-in--41.00°F hand sink--left staff restroom--100.00°F <br /> hand sink--right staff restroom--100.00°F mop sink--janitor room--128.00°F <br /> NOTES <br /> Routine inspection. <br /> Facility prepares hot and cold meals on site. Breakfast is served from 8:00-8:25 AM and lunch is served from 10:30 AM - <br /> 12:30 PM. <br /> Facility receives food items from SYSCO and Lodi Unified School District Warehouse. <br /> Facility receives produce from Goldstar. <br /> All utensils are disposable. <br /> Sanitizer bucket-300 ppm quat. <br /> Quat and thermal test strips available. <br /> The left 2 dr Crescor warmer was being used to proof dough during the inspection. <br /> Discussed report with Doris Walker. <br /> No signature captured. <br /> Maintain a copy of this report on site. <br /> FA0015743 PR0523314 SCO01 11/03/2021 <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 />