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COMPLIANCE INFO_2023
EnvironmentalHealth
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1600 - Food Program
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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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SAN J 0 A Q U I N Environmental Health Department <br /> CC)U NTY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: LODI USD-LOIS BORCHARDT, 275 CULBERTSON DR, LODI 95240 <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> pasta--out of oven--175.00°F Delfield milk cooler--cafeteria--41.00°F <br /> 2 D Crescor warmer display(R)--152.00°F 2 D Crescor warmer display(L)--150.00°F <br /> hand sink--staff restroom(R)--59.00°F corn dog--out of oven--203.00°F <br /> walk-in--40.00°F nonadjustable hand sink--kitchen--84.00°F <br /> prep sink--120.00°F hand sink--staff restroom(L)--104.00°F <br /> mop sink--janitor room--126.00°F <br /> NOTES <br /> Routine inspection. <br /> Sanitizer bucket-200 ppm quat. <br /> Quat and thermolabel test strips available. <br /> Discussed report with Doris Walker. <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 /> FA0015743 PR0523314 SC101 03/27/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program OIR <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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