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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> .r{ � 7fa�p[r+85S grows hire, Time In: 11.38 am <br /> Time Out: 12:30 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-SUTHERLAND ELEMENTARY Date: 03/29/2023 <br /> Address: 550 SPRING RIVER CIR, STOCKTON 95210 <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: Pamela Conner Expiration Date:July 26,2027 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 126°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 106°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> milk cooler--cafeteria--41.00°F 2 D Crescor warmer--cafeteria--160.00°F <br /> walk-in--40.00°F hand sinks--M&W staff restrooms--100.00°F <br /> hand sink--kitchen--106.00°F 2 D Crescor warmer--kitchen--168.00°F <br /> pre-rinse sink--120.00°F 2 comp sink--126.00°F <br /> 1 comp sink--133.00°F <br /> NOTES <br /> Routine inspection. <br /> Sanitizer bucket-300 ppm quat. <br /> Quat and thermolabel test strips available. <br /> Facility does not have a 3 comp sink, it does have a 2 comp sink that is used food prep. If warewashing must be done at 2 <br /> comp sink then sink must be cleaned and sanitized before and after being used for food prep. <br /> Discussed report with Pamela Conner. <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 /> FA0002978 PRO163010 SC101 03/29/2023 <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 />