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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0161845
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COMPLIANCE INFO_2023
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Last modified
4/5/2023 2:20:00 PM
Creation date
4/5/2023 2:19:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0161845
PE
1632
FACILITY_ID
FA0001135
FACILITY_NAME
LODI USD-HERITAGE SCHOOL
STREET_NUMBER
509
Direction
E
STREET_NAME
EDEN
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04746017
CURRENT_STATUS
01
SITE_LOCATION
509 E EDEN ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: LODI USD-HERITAGE SCHOOL, 509 E EDEN ST, LODI 95240 <br />Food Program Official Inspection Report <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 /> 160 122 <br /> 88 <br />Stacy Fugua July 26, 2027 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />2 D Crescor warmer -- cafeteria (R) -- 170.00º F 2 D Crescor warmer -- cafeteria (L) -- 185.00º F <br />nonadjustable hand sink -- kitchen -- 88.00º F walk-in -- 38.00º F <br />hand sink -- staff restroom -- 100.00º F Norlake milk cooler -- cafeteria -- 41.00º F <br />2 D Crescor warmer -- kitchen -- 196.00º F 2 comp sink -- 118.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. <br />Sanitizer bucket - 300 ppm quat. <br />Quat and thermolabel test strips available. <br />Breakfast is served from 7:45-8:15 AM and lunch is served from 10:10 AM-12:35 PM. <br />Facility receives food items from SYSCO and Lodi USD Warehouse, and produce from General Produce. <br />Discussed report with Stacy Fuqua. <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 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0001135 PR0161845 SC101 03/27/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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