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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0161845
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Entry Properties
Last modified
4/21/2020 4:54:07 PM
Creation date
1/29/2019 2:29:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0161845
PE
1632
FACILITY_ID
FA0001135
FACILITY_NAME
LODI USD-HERITAGE SCHOOL
STREET_NUMBER
509
Direction
E
STREET_NAME
EDEN
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04746017
CURRENT_STATUS
01
SITE_LOCATION
509 E EDEN ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Time In: 9:32 am <br /> Time Out: 9:47 am <br /> Q91N San Joaquin County <br /> Z, Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> q�ikotie� <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-HERITAGE SCHOOL Date: 10/23/2015 <br /> Address: 509 E EDEN ST, LODI 95240 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone: (209) 331-7000 <br /> Program Element: 1632 - EXEMPT FOOD <br /> Inspection Type: INSPECTION/REINSPECTION 1 hr minimum <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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Both violations have been corrected. Switch for hot water at the handwash was replaced. <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: JEFFREY WONG Phone: (209) 468-0335 <br /> FA0001135 PRO161845 SC333 10/23/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />
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