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Time In: 10.19 am <br /> Time Out: 11:19 am <br /> �P.Q•u��.. P San Joaquin County <br /> y� Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �..• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> '9Gl P Oftt� <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-JOE SERNA SCHOOL Date: 09/26/2016 <br /> Address: 339 E OAK ST, 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 /> #7 Hot and Cold Holding Temperatures <br /> OBSERVATIONS:Milk box Norlake 47 F and milk within 46 F. Provide 45 F or lower for dairy, and 41 F or below for <br /> potentially hazardous food immediately. <br /> CALCODE DESCRIPTION:Potentially hazardous foods shall be held at or below 41/45°F or at or above 135°F. (113996, 113998, <br /> 114037, 114343(a)) <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:No backflow prevention device on mop sink with hose attached. Provide backflow prevention (i.e. hose <br /> bib, anti-siphon valve, or air gap)in 2 weeks. <br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances, shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Misty Mehl Expiration Date:June 02,2018 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 132°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 129°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> milk--Milkbox 2 Norlake by salad table--46.00°F mop--121.00°F <br /> Milkbox 1 --45.00°F 3-comp by warewash--120.00°F <br /> 2D True by 3-comp--39.00°F shredded carrots in a bag--2D True--40.00°F <br /> 2D True--44.00°F sprayer by warewash--120.00°F <br /> Milkbox 2 Norlake by salad table--47.00°F 2D Cres Cor--139.00°F <br /> HW--129.00°F jelly--2D True--46.00°F <br /> RR employee--104.00°F 3-comp--132.00°F <br /> NOTES <br /> FA0014384 PR0519243 SCO01 09/26/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OIR <br />