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SAN <br /> J O a Q U I N Environmental Health Department <br /> C0U ;N i Y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: LODI USD-LODI HIGH SCHOOL, 3 S PACIFIC AVE, LODI 95242 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Randolph Rios Expiration Date:June 06,2027 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 124°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 109°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk-in--36.00°F 2 D warmer(L)--cafeteria--170.00°F <br /> in counter prep sink--near 3 comp sink--120.00°F hand sinks--L&R unisex staff restrooms--100.00°F <br /> mop sink--125.00°F open reach-in display(R)--cafeteria--40.00°F <br /> prep sink--snack bar--120.00°F open reach-in display(L)--cafeteria--39.00°F <br /> hand sink--snack bar--100.00°F 1 D Dasani display--snack bar--38.00°F <br /> in counter prep sink--near cook line--120.00°F <br /> NOTES <br /> Routine inspection. <br /> Sanitizer buckets-200 ppm quat. <br /> Quat and thermolabel test strips available. <br /> Most of the hot/cold holding equipment was not being used during the inspection as it was a minimum day. <br /> The 1 D Traulsen at the snack bar was not being used as it does not work. <br /> Discussed report with Randolph Rios. <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 /> FA0000915 PRO160228 SCO01 04/13/2023 <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 />