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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 1.00 pm <br /> •'C1FaR�;` G9reotness grows here. <br /> Time Out: 1:48 om <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-VICTOR SCHOOL Date: 04/23/2021 <br /> Address: 17670 BRUELLA RD, VICTOR 95253 <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: Faith McKinnon Expiration Date:June 05,2024 <br /> Warewash Chlorine(Cl): 0 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 /> Norlake milk cooler--41.00°F 2 Dr Traulsen cooler--41.00°F <br /> Hand washing sink--Restroom--100.00°F <br /> NOTES <br /> Spring routine inspection. <br /> The facility is currently serving cold and hot meals to students on site. <br /> The food items are delivered from the Lodi Unified School District central kitchen and Sysco. <br /> Lunch is provided for the students starting at 10:30am. <br /> Sanitizer spray: 300 PPm QUAT <br /> Note: 2 Dr Crescor hot hold was currently not in use at the time of arrival. <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: Faith McKinnon, Food Service lead <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0006502 PR0505059 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 />