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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160233
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COMPLIANCE INFO_2022
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Last modified
10/5/2022 1:11:57 PM
Creation date
4/11/2022 8:11:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160233
PE
1632
FACILITY_ID
FA0000575
FACILITY_NAME
LODI USD-LODI MIDDLE SCHOOL
STREET_NUMBER
945
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03104002
CURRENT_STATUS
01
SITE_LOCATION
945 S HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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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: 1025 am <br /> Time Out: 10:58 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LODI MIDDLE SCHOOL Date: 04/04/2022 <br /> Address: 945 S HAM LN, 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 /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:Hand sink outside of office is on a non adjustable faucet and is at 11 OF. <br /> Provide warm water between 100F-108F at this sink. <br /> Ok, corrected on site warm water is now at 106F. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(0) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Lori Nunn Expiration Date:July 19,2023 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 134°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 132°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Prep sink--129.00°F Milkbox(L)--41.00°F <br /> Lasagna--warmer#1 --137.00°F 3 comp--134.00°F <br /> Milkbox(R)--36.00°F Hand sink--across from restroom--132.00°F <br /> pizzas--Warmer#2--149.00°F pizza--Warmer#3--145.00°F <br /> NOTES <br /> sanitizer bucket 400ppm (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: Lori Nunn, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0000575 PRO160233 SC101 04/04/2022 <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 />
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