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Environmental Health Department <br />Time In: <br />10:07 am <br /> 9:30 am <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 331-7000 Owner/Operator: LODI UNIFIED SCHOOL DISTRICT <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 13451 N EXTENSION RD, LODI 95240 <br />Date: 04/11/2022Name of Facility: LODI USD-HENDERSON SCHOOL <br />Food Program Official Inspection Report <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br />Candy Rieger July 19, 2022 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />hand sink -- Staff restroom -- 103.00º F Hand sink -- sink cafeteria -- 122.00º F <br />2 door upright Traulsen -- 38.00º F Milk box -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Lunch is served at 12:18 <br />No food onsite at the time of inspection. <br />No violations. <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:Phone: <br />Ed Zachary, <br />STEPHANIE RAMIREZ <br />Page 1 of 1EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0000447 PR0162146 SC001 04/11/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com