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Environmental Health Department <br />Time In: <br />11:54 am <br />11:24 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: 542 E PINE ST, LODI 95240 <br />Date: 04/19/2022Name of Facility: LODI USD-LINCOLN TECH ACADEMY <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 /> 100 <br />Candy Rieger July 19, 2022 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />hand sink -- room #30 adult restroom -- 100.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. <br />Hot and cold meals are provided in room #30 (preschool center) of the facility. <br />Facility receives premade/packaged food items from Lodi USD Central Kitchen. <br />Breakfast food items are delivered at 7:30 AM and lunch food items are delivered at 10:30 AM. <br />Food items are kept in the insulated containers that they are delivered in until food items are served. <br />Food is only served at the preschool location. <br />No warewashing or food prep occurs on site. All utensils/trays are disposable. <br />A Virex 256 spray bottle is used to sanitize surfaces, it is 400 ppm quat. <br />Discussed report with Carrie Griffin. <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:Phone:(209) 616-3035 <br />, <br />DARIA AFONSKAIA <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0022654 PR0539589 SC001 04/19/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD