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S A N J a A Q U I N Environmental Health Department <br /> COUNTY <br /> — <br /> Food Program Official Inspection Report <br /> Facility Name and Address: ST PETER LUTHERAN SCHOOL, 2400 OXFORD WAY, LODI 95242 <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door upright refrigerator--41.00°F <br /> NOTES <br /> Note: School campus is closed and kitchen is not in use at this time. <br /> School resumes on Jan. 10,2022. <br /> Operator to provide proof of hot water at the fixture (3 comp or prep sink)by photo or video sent to my email or phone by Jan <br /> 10, 2022 or re-inspection may occur. <br /> email to sramirez@sjgov.org. <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: Shannon Gramm Business HR Mana <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0018555 PR0527405 SCO01 12/28/2021 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />