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COMPLIANCE INFO_2023
EnvironmentalHealth
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PR0523314
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COMPLIANCE INFO_2023
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Last modified
12/26/2023 8:45:52 AM
Creation date
4/7/2023 9:02:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0523314
PE
1632
FACILITY_ID
FA0015743
FACILITY_NAME
LODI USD-LOIS BORCHARDT
STREET_NUMBER
275
STREET_NAME
CULBERTSON
STREET_TYPE
DR
City
LODI
Zip
95240
APN
03511017
CURRENT_STATUS
01
SITE_LOCATION
275 CULBERTSON DR
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> � .` 7fa�p[r+85S grows h$rB. Timeln: 915am <br /> Time Out: 10:10 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LOIS BORCHARDT Date: 03/27/2023 <br /> Address: 275 CULBERTSON DR, LODI 95240 <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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:The water at the nonadjustable hand sink was 84 F. Provide warm water between 100-108 F today. <br /> Hot water was not available at the hand sink in the right staff restroom. Provide hot and cold water with hot water at 100 F <br /> minimum today. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> #30 Food Storage/Display Properly Labeled <br /> OBSERVATIONS:Observed opened bag of pasta on shelf in storage room. Store food items in labeled containers on bag <br /> is opened. Corrected on site. <br /> CALCODE DESCRIPTION:Food shall be stored in approved containers and labeled as to contents. Food shall be stored at least 6" <br /> above the floor on approved shelving. (114047, 114049, 114051, 114053, 114055, 114067(h), 114069(b)) <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Observed spillage on floor under under dishwasher. Clean today and repair any leakage as necessary. <br /> CALCODE DESCRIPTION: The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Doris Walker Expiration Date:July 29,2026 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 84°F <br /> FA0015743 PR0523314 SC101 03/27/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 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 />
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