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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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PR0160233
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Last modified
5/7/2020 1:43:48 PM
Creation date
4/15/2019 9:14:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160233
PE
1632
FACILITY_ID
FA0000575
FACILITY_NAME
LODI USD-LODI MIDDLE SCHOOL
STREET_NUMBER
945
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03104002
CURRENT_STATUS
01
SITE_LOCATION
945 S HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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JCastaneda
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EHD - Public
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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ <br /> COUNTY— <br /> Time <br /> OUNTY <br /> Tl <br /> E"r : <br /> ^'•ti7F Opt�� Greotness grows here. am <br /> Timee OOutut: 100:4:4 5 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LODI MIDDLE SCHOOL Date: 04/11/2019 <br /> Address: 945 S HAM LN, 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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Hood filter is showing debris. Clean today. <br /> Walk in freezer is showing ice condensation on compressor. Repair in 1 week. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Lori Nunn Expiration Date:July 19,2023 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 127°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 105°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Milk box--Dining--44.00°F 2 D Cres Cor warmer#2--157.00°F <br /> 2 comp sink--135.00°F 2 D Cres Cor warmer#3 160.00°F <br /> 2 D Cres Cor warmer#1 --156.00°F Walk in cooler--40.00°F <br /> Hand sink--Staff rest room--132.00°F 2 D Cres Cor warmer#4 148.00°F <br /> NOTES <br /> Sanitizer bucket is set up with QUAT 150 ppm. Provide QUAT 200 ppm or more today. Corrected on site. <br /> No major violations observed. <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: Lori Nunn, Cafeteria Manager <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0000575 PRO160233 SCO01 04/11/2019 <br /> EHD 16-23 Rev.06/30/15 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.sjcehd.com <br />
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