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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160225
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COMPLIANCE INFO_2023
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Last modified
9/26/2023 1:17:22 PM
Creation date
5/5/2023 2:12:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0160225
PE
1632
FACILITY_ID
FA0000167
FACILITY_NAME
LODI USD-LAKEWOOD SCHOOL
STREET_NUMBER
1100
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03910012
CURRENT_STATUS
01
SITE_LOCATION
1100 N HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\ymoreno
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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-LAKEWOOD SCHOOL, 1100 N HAM LN, LODI 95240 <br /> hand sinks--M&W restrooms--100.00°F Norlake milk cooler--cafeteria--41.00°F <br /> 2 D crescor warmer--kitchen--170.00°F cheesy bread--left cafeteria warmer--142.00°F <br /> walk-in--39.00°F Bevereage Air milk cooler--cafeteria--45.00°F <br /> 2 comp sink--122.00°F nonadjustable hand sink--kitchen--84.00°F <br /> 1 comp sink--warewash area -120.00°F in counter prep sink--120.00°F <br /> 2 D Crescor warmer(R)--cafeteria--151.00°F <br /> NOTES <br /> Routine inspection. <br /> Sanitizer bucket-200 ppm quat. <br /> Quat and thermolabel test strips available. <br /> Discussed report with Tammy Archer. <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 /> FA0000167 PRO160225 SC101 04/19/2023 <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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