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Time In: 9:49 am <br /> Time Out: 10:40 am <br /> San Joaquin County <br /> Environmental Health Department <br /> a. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-WOODBRIDGE SCHOOL Date: 11/05/2015 <br /> Address: 1290 LILAC ST,LODI 65242 <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 /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Observed slight paint peeling at wall behind backsplash at comp sink(left side). Repaint/repair so <br /> smooth cleanable and non-absorbant. <br /> CAL CODE DESCRIPTION: The walls/ceilings shall have durable, smooth, nonabsorbent, light-colored, and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable. Approved base coving shall be provided in all areas, except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Christopher S Beach Expiration Date:June 02,2016 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 129°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 110°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> hand sink--men's restroom-- 116.00°F hand sink--next to 3 comp-- 110.00°F <br /> milkbox(R)--41.00°F Mexi pocket-- Reheat N Hold cabinet-- 151.00°F <br /> 2 door refrigerator--next to office--40.00°F milkbox(L)--41.00°F <br /> sloppy joe--Hot hold cabinet-- 155.00°F <br /> NOTES <br /> sanitizer bucket 400ppm (quat) <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: cris, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0003187 PRO160238 SCO01 11/05/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br />