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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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PR0544888
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
12/19/2023 8:22:22 AM
Creation date
5/23/2023 8:03:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0544888
PE
1632
FACILITY_ID
FA0025517
FACILITY_NAME
LODI USD-JOE SERNA SCHOOL
STREET_NUMBER
4600
Direction
E
STREET_NAME
ACAMPO
STREET_TYPE
RD
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
4600 E ACAMPO RD
P_LOCATION
02
QC Status
Approved
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SJGOV\lsauers1
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EHD - Public
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r I Environmental Health Department <br /> SANJOAQU <br /> C UNT <br /> Greotrre55 grows here Time In: 10.05 am <br /> Time Out: 10:35 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-JOE SERNA SCHOOL Date: 12/18/2023 <br /> Address: 4600 E ACAMPO RD, LODI 95240 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone: (209)331-7000 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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: Diane Wilcox Expiration Date:July 26,2027 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 comp sink-- 120.00°F Crescor 2 door warmer 2--150.00°F <br /> milk cooler--cafeteria--41.00°F Crescor 2 door warmer 1 --150.00°F <br /> Beverage air milk cooler--41.00°F hand sink--staff restroom--100.00°F <br /> 3 comp sink--121.00°F walk in cooler--38.00°F <br /> hand sink--100.00°F <br /> NOTES <br /> Routine inspection. <br /> Sanitizer bucket-400 ppm QUAT <br /> Facility prepares lunches on site for both Lodi USD Houston and Joe Serna Schools. <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: FRANCISCO RUIZ Phone: (209)616-3032 <br /> FA0025517 PR0544888 SCO01 12/18/2023 <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 />
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