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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 9.42 am <br /> •'C1FaR�;` Greotness grows here. <br /> Time Out: 10:24 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-NICHOLS SCHOOL Date: 04/18/2023 <br /> Address: 1301 S CRESCENT AVE, 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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Observed some slight ice build up on the floor and ceiling in the walk-in freezer. Clean within 1 week and <br /> repair as necessary. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Carol Palmer Expiration Date:July 26,2027 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 112°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> bbq chicken--cafeteria warmer--151.00°F 2 comp prep sink--123.00°F <br /> hand sink--staff restroom--103.00°F 1 comp sink--120.00°F <br /> Norlake milk cooler--cafeteria--41.00°F walk-in--41.00°F <br /> NOTES <br /> Routine inspection. <br /> Sanitizer bucket 300-400 ppm quat. <br /> Quat and thermolabel test strips available. <br /> Discussed report with Carol Palmer. <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 /> FA0000312 PRO160231 SC101 04/18/2023 <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 />