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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> 7fa�p[r+85S growshere. Time In: 9.50 am <br /> Time Out: 10:42 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LIVE OAK SCHOOL Date: 03/28/2022 <br /> Address: 5099 E BEAR CREEK RD, 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 /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization <br /> OBSERVATIONS:The dishwasher did not reach 160 F on the utensil surface per thermolabel after running the dishwasher <br /> several times. Discontinue using dishwasher for sanitizing until repaired to reach 160 F minimum on utensil surface. Use 3 <br /> comp sink and manually sanitize utensils with at least 200 ppm quat until dishwasher is repaired. Submit evidence of <br /> correction for dishwasher within 2 weeks to dafonskaia@sjgov.org <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized. (I 13984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101 (b-d), 114105, 114109, 114111, 114113, 114115(a, b, d), 114117, 114125(b), 114135, 114141) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Michael Delgado Expiration Date:June 05,2024 <br /> Warewash Chlorine(Cl): ppm Heat: 0°F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 dr Crescor warmer--kitchen--165.00°F hand sink--staff restroom(R)--100.00°F <br /> hand sink--staff restroom(L)--100.00°F Beverage Air milk cooler--cafeteria--41.00°F <br /> 2 dr Crescor warmer--cafeteria--165.00°F walk-in--39.00°F <br /> NOTES <br /> Routine inspection. <br /> Sanitizer bucket-300 ppm quat. <br /> Quat and thermal test strips available. <br /> The facility prepares hot and cold lunches on site. <br /> The facility orders food items from SYSCO an Lodi USD Warehouse. <br /> The facility orders bread from Goldstar. <br /> Discussed report with Michael Delgado. <br /> No signature captured. <br /> FA0001138 PRO161849 SC101 03/28/2022 <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 />