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COMPLIANCE INFO_2015-2019
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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PR0523034
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COMPLIANCE INFO_2015-2019
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Last modified
7/29/2020 3:40:27 PM
Creation date
4/30/2019 10:58:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2019
RECORD_ID
PR0523034
PE
1632
FACILITY_ID
FA0015558
FACILITY_NAME
LODI USD-MILLSWOOD MIDDLE SCHOOL
STREET_NUMBER
233
STREET_NAME
MILLS
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
02940004
CURRENT_STATUS
01
SITE_LOCATION
233 MILLS AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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JCastaneda
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EHD - Public
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Time In: 10-58 am <br /> Time Out: 11:54 am <br /> oPQ•��IV <br /> .. 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-MILLSWOOD MIDDLE SCHOOL Date: 04/08/2016 <br /> Address: 233 MILLS AVE, 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 /> #40 Proper Use and Storage of Wiping Cloths <br /> OBSERVATIONS:Observed wet wiping cloth on 3 comp drain board next to sanitizer bucket. Provide wet wiping cloth in <br /> sanitizer solution. <br /> CALCODE DESCRIPTION:Wiping cloths used to wipe service counters,scales or other surfaces that may come into contact with food <br /> shall be used only once unless kept in clean water with sanitizer. (114135, 114185.1 114185.3(d-e)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Griselda Martinez Expiration Date:June 08,2018 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 126°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Dasani display refrigerator--across from office--41.00°F milkbox- 41.00°F <br /> hand sink- 126.00°F 3 comp 120.00°F <br /> chimi bite- warmer near dishwasher--138.00°F pizza in warmer--near prep table--144.00°F <br /> NOTES <br /> Note: Pulled pork sandwich in warmer near kitchen entrance is at 132F. Provide a temperature of 135F or higher of this food <br /> item. <br /> I observed temp logs for this food item.At 10:40am temp of this food item was at 190F. <br /> Per person in charge this food item was out for first lunch service and has been in warmer for approx 10 min. <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 /> 44/ij)t" <br /> Received by: Name and Title: laurie delatorre, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0015558 PRO523034 SCO01 04/08/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />
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