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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> .r{ � 7fa�p[r+85S grows hire, Time In: 12-12 pm <br /> Time Out: 12:54 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LOIS BORCHARDT Date: 03/28/2022 <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:The water at the nonadjustable hand sink in the kitchen was 120 F. Provide warm water between 100- <br /> 108 F at this hand sink today. <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: Doris Walker Expiration Date:July 29,2026 <br /> Warewash Chlorine(Cl): ppm Heat: 160°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 /> walk-in--39.00°F hand sink--staff restroom(L)--100.00°F <br /> Delfield milk cooler--cafeteria--41.00°F hand sink--staff restroom(R)--100.00°F <br /> mop sink--janitor room--130.00°F 2 dr Crescor warmer--kitchen(R)--165.00°F <br /> 2 dr Crescor warmer--kitchen(L)--145.00°F <br /> NOTES <br /> Routine inspection. <br /> Facility prepares hot and cold meals on site. <br /> Breakfast is served from 8:00-8:25 AM and lunch is served from 10:30 AM- 12:30 PM. <br /> Facility receives food items from SYSCO and Lodi USD Warehouse. <br /> Facility receives produce Goldstar. <br /> Sanitizer bucket-300 ppm quat. <br /> Quat and thermal test strips available. <br /> Discussed report with Doris Walker. <br /> No signature captured. <br /> FA0015743 PR0523314 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 />