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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> Vftspt�+fSS grows here. Time In: 9:02 am <br /> Time Out: 9:28 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-MANLIO SILVA ELEM SCHOOL Date: 04/04/2023 <br /> Address: 6250 SCOTT CREEK DR, STOCKTON 95219 <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 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 /> #36 Equipment/Utensils/Linens: Proper Storage/Use <br /> OBSERVATIONS:The dishwasher was observed non-operational. Dishes and utensils are currently being washed, rinsed <br /> and sanitized in the three compartment sink. Repair dishwasher so that it is in good working order and sanitizing at a <br /> minimum of 50 PPM. <br /> CALCODE DESCRIPTION:All clean and soiled linen shall be properly stored non-food items shall be stored and displayed separate from <br /> food and food-contact surfaces. (114185.3- 114185.4) Utensils and equipment shall be handled and stored so as to be protected from <br /> contamination. (114074-114075, 114081, 114119, 114121, 114161, 114178, 114179, 114083, 114185, 114185.2, 114185.5) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Sonia Lopez Expiration Date:July 29,2026 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Right staff restroom--118.00°F Two door Crescor warmer--Right side--149.00°F <br /> Delfield milk box--41.00°F Hand sink--Left staff restroom--101.00°F <br /> Two door Crescor warmer--Left side--156.00°F In counter prep sink--122.00°F <br /> Walk-in cooler--35.00°F <br /> NOTES <br /> Routine inspection. No major violations. Time given for correction of minor violations. No re-inspection. <br /> Discussed inspection report with Sonia Lopez(Kitchen Lead). Official inspection report was emailed to operator. <br /> Maintain copy of inspection report on site. <br /> To minimize person-to-person contact,the signature of the person receiving the inspection report was not captured. <br /> FA0016447 PR0524526 SCO01 04/04/2023 <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 />