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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 11.00 am <br /> •'C1FaR�;` Greotness grows here. <br /> Time Out: 11:42 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-WOODBRIDGE SCHOOL Date: 04/06/2023 <br /> Address: 1290 LILAC ST, LODI 95242 <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: Maria Aguilar Expiration Date:July 19,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 102°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 D Traulsen--near office--38.00°F 2 D Crescor warmer--188.00°F <br /> Beverage Air milk cooler--hallway--41.00°F 2 D Traulsen--near warmer--41.00°F <br /> Norlake milk cooler--hallway--41.00°F hand sinks--M&W restrooms--104.00°F <br /> NOTES <br /> Routine inspection. <br /> Quat test strips available. <br /> Facility receives meals from Lodi USD Central Kitchen and food items from Lodi USD Warehouse. <br /> Discussed report with Maria Aguilar. <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 /> FA0003187 PRO160238 SC101 04/06/2023 <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 />