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Environmental Health Department <br />Time In: <br />11:25 am <br />10:46 am <br />Time Out: <br />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: 04/04/2018Name of Facility: LODI USD-ELKHORN SCHOOL <br />Food Program Official Inspection Report <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: Slight ice accumulation observed in ice 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 /> 110 <br />on file <br />OVERALL INSPECTION NOTES AND COMMENTS <br />chicken soup -- 174.00º F hand sink -- Staff Restroom -- 109.00º F <br />hand sink -- 110.00º F milk box -- 37.00º F <br />hand sink -- Men's -- 101.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Observed Transport Log all phf loading temps are 135F or higher or 41F or lower. <br />Lunch is served at noon. <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 04/04/2018 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com