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SA N'tJ D A Q U I N Environmental Health Department <br /> I��kiw <br /> —COUNTY <br /> Greorness grows here, Time In: 11.30 am <br /> Time Out: 12:02 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-WASHINGTON SCHOOL Date: 03/30/2022 <br /> Address: 831 LOCKEFORD ST, 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 /> #33 Nonfood Contact Surfaces Clean <br /> OBSERVATIONS:Air vents in staff restrooms have debris. <br /> Clean. <br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Angela Lumpkin Expiration Date:July 29,2026 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 131 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 105°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Milkbox--38.00°F 3 comp warewash--131.00°F <br /> Hand wash--warewash room--129.00°F Walk-in--41.00°F <br /> Hamburger--Warmer in cafeteria--162.00°F hand sink--Staff restroom(R)--100.00°F <br /> hand sink--Staff restroom(L)--102.00°F Hand sink--105.00°F <br /> Traulsen upright--41.00°F 2 comp--124.00°F <br /> NOTES <br /> Sanitizer bucket 300ppm quat <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: Angela Lumpkin, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0000538 PRO160236 SC101 03/30/2022 <br /> EHD 16-23 Rev.06/30/15 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.sjcehd.com <br />