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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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PR0160359
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COMPLIANCE INFO
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Last modified
4/17/2020 4:05:46 PM
Creation date
4/19/2019 2:06:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160359
PE
1632
FACILITY_ID
FA0004299
FACILITY_NAME
LODI USD-ELKHORN SCHOOL
STREET_NUMBER
10505
Direction
N
STREET_NAME
DAVIS
STREET_TYPE
RD
City
STOCKTON
Zip
95207
APN
07007015/16
CURRENT_STATUS
01
SITE_LOCATION
10505 N DAVIS RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 331-7000 Owner/Operator: LODI UNIFIED SCHOOL DISTRICT <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 10505 N DAVIS RD, STOCKTON 95207 <br />Date: 05/10/2016Name of Facility: LODI USD-ELKHORN SCHOOL <br />Food Program Official Inspection Report <br />10:26 am <br /> 9:45 am <br />Time Out: <br />Time In: <br />San Joaquin County <br />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 />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 /> #33 Nonfood Contact Surfaces Clean <br />OBSERVATIONS: Observed ice accumulation on the interior walls of milk box. Clean <br />CALCODE DESCRIPTION: All nonfood contact surfaces of utensils and equipment shall be clean. (114115 (c)) <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br />on file <br />OVERALL INSPECTION NOTES AND COMMENTS <br />restroom hand sink -- women's -- 101.00º F milkbox -- 37.00º F <br />restroom hand sink -- men's -- 102.00º F hand sink -- 112.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Note: Lunch is served at 12. Foods come from Christa McCuliff at 10am. <br />I reviewed transport logs of food. All phf's are 41F or lower or 135F or higher. <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:Phone:(209) 468-9851 <br />Shaun Montemayor, <br />STEPHANIE RAMIREZ <br />Page 1 of 1EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0004299 PR0160359 SC001 05/10/2016
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