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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 11.40 am <br /> •'C1FaR�;` Grecitness grows here. <br /> Time Out: 12:40 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LAWRENCE SCHOOL Date: 09/14/2022 <br /> Address: 721 CALAVERAS ST, LODI 95240 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone: (209)331-7179 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 dr Metro C200 warmer--kitchen--150.00°F Norlake milk cooler--cafeteria--39.00°F <br /> hand sink--staff restroom--100.00°F 1 dr True--39.00°F <br /> prep sink--120.00°F walk-in--39.00°F <br /> 2 dr Metro C200 warmer--cafeteria--153.00°F <br /> NOTES <br /> Routine inspection. <br /> Sanitizer bucket-200 ppm quat. <br /> Quat and temp label test strips available. <br /> Breakfast is served from 7:45-8:15 AM and lunch is served from 10:30 AM- 12:40 PM. <br /> Facility receives food items from SYSCO and Lodi USD Warehouse. <br /> Facility receives bread from Goldstar and produce from General Produce. <br /> Leftover food items at service counter and salad bar are discarded after lunch service. <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 SCO01 09/14/2022 <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 />