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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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PR0505532
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/5/2022 8:13:49 AM
Creation date
4/12/2022 8:30:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0505532
PE
1632
FACILITY_ID
FA0006838
FACILITY_NAME
LODI USD-LAWRENCE SCHOOL
STREET_NUMBER
721
STREET_NAME
CALAVERAS
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04124006
CURRENT_STATUS
01
SITE_LOCATION
721 CALAVERAS ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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rA �J�AQUIN Environmental Health Department <br /> COUNTY <br /> �+ Time In: 11.50 am <br /> V <br /> •'C1FaRrti`. recitness grows here. <br /> Time Out: 12:28 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LAWRENCE SCHOOL Date: 04/08/2022 <br /> Address: 721 CALAVERAS 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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Diana Rice Expiration Date: May 29,2025 <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 /> prep sink--120.00°F 2 dr Metro C200 warmer--cafeteria--146.00°F <br /> 2 dr Metro C200 warmer--kitchen--156.00°F 1 dr True--34.00°F <br /> hand sink--staff restroom--100.00°F service counter cooler--40.00°F <br /> Norlake milk cooler--41.00°F walk-in--41.00°F <br /> NOTES <br /> Routine inspection. <br /> Sanitizer bucket-300 ppm quat. <br /> Quat and thermal test strips available. <br /> Facility prepares hot and cold meals on site. Lunch is served between 10:30 AM- 12:30 PM. <br /> Facility gets food items from Lodi USD Warehouse, SYSCO, and Goldstar. <br /> Discussed report with Diana Rice. <br /> No signature captured. <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: <br /> EH Specialist: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0006838 PR0505532 SC101 04/08/2022 <br /> EHD 16-23 Rev.09/16/2020 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.sjgov.org/EHD <br />
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