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Environmental Health Department <br />Time In: <br />12:24 pm <br />11:32 am <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 331-7000 Owner/Operator: LODI UNIFIED SCHOOL DISTRICT <br />Inspection Type: ROUTINE INSPECTION (Chargeable) <br />Address: 721 CALAVERAS ST, LODI 95240 <br />Date: 04/21/2023Name of Facility: LODI USD-LAWRENCE SCHOOL <br />Food Program Official Inspection Report <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 170 120 <br /> 101 <br />Diana Rice May 29, 2025 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />shrimp taco -- kitchen warmer -- 174.00º F 2 D Crescor warmer -- cafeteria -- 160.00º F <br />chicken patty -- out of oven -- 199.00º F Norlake milk cooler -- cafeteria -- 41.00º F <br />in counter prep sink -- 120.00º F hand sink -- staff restroom, separate building -- 100.00º F <br />walk-in -- 39.00º F 2 comp sink -- 121.00º F <br />1 D True -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. <br />Sanitizer bucket - 400 ppm quat. <br />Quat and thermolabel test strips available. <br />Breakfast is served from 7:45-8:15 AM and lunch is served from 10:30 AM - 12:40 PM. <br />Facility receives food items from SYSCO and Lodi USD Warehouse. <br />Facility receives bread from Goldstar and produce from General Produce. <br />Discussed report with Diana Rice. <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:Phone:(209) 616-3035 <br />, <br />DARIA AFONSKAIA <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0006838 PR0505532 SC101 04/21/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD