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Time In: 11-08 am <br /> Time Out: 12:08 pm <br /> Pquin/ San Joaquin County <br /> a. Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., ;a• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �rFORN <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-JOE SERNA SCHOOL Date: 03/03/2017 <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 (Chargeable) <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 /> #27 Food Protected from Contamination <br /> OBSERVATIONS:Backdoor of kitchen latched open. Keep doors shut or provide screen now. <br /> CALCODE DESCRIPTION:All food shall be separated and protected from contamination. (113984(a, b, c,d, f), 113986, 114060, <br /> 114067(a, d, e,j), 114069(a,b), 114077, 114089.1 (c), 114143(c)) <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: 123°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> coleslaw--salad bar--43.00°F 1 D True--kitchen--41.00°F <br /> mop--41.00°F RR employee--100.00°F <br /> corn kennels(just opened cans before inspection)--salad bar-- Norlake milkbox north(actually milk)--41.00°F <br /> 61.00°F <br /> milkbox south--42.00°F 2-comp prep--kitchen--123.00°F <br /> 2D True--kitchen--41.00°F 2D Cres Cor--140.00°F <br /> NOTES <br /> 2nd Routine chargable. <br /> Note: Facility uses time log for salad bar and maintains a time log, however these document are"turned in"at the end of the <br /> month and EHD was not able to verify previous time log. EHD requests a year's worth of time log on site. <br /> OIR emailed to Cindy Oliver and mmehl@lodiusd.net <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: misty mehl, Cafe II <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0014384 PR0519243 SC101 03/03/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />