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r I Environmental Health Department <br /> SANJOAQU <br /> CUfT <br /> Gr$CItYr$55 grows here, Time In: 9:30 am <br /> Time Out: 9:45 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-VICTOR SCHOOL Date: 12/15/2023 <br /> Address: 17670 BRUELLA RD, VICTOR 95253 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone: (209)331-7000 <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 <br /> health and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate Sherene Villanueva Expiration Date:,lune 26,2026 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door Crescor Warmer--150.00°F 3 door Traulsen--41.00°F <br /> Norlake milk cooler--41.00°F Handsinks--restrooms--100.00°F <br /> NOTES <br /> Routine inspection. <br /> Facility receives prepackage/premade items from Lodi USD Central Kitchen that are kept warm/cool as necessary until served. <br /> No warewashing is done on site. <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: FRANCISCO RUIZ Phone: (209)616-3032 <br /> FA0006502 PR0505059 SCO01 12/15/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/EHD <br />