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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 (Chargeable) <br />Address: 6250 SCOTT CREEK DR, STOCKTON 95219 <br />Date: 10/18/2017Name of Facility: LODI USD-MANLIO SILVA ELEM SCHOOL <br />Food Program Official Inspection Report <br />10:09 am <br /> 9:32 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 /> #29 Toxic Substances Properly Identified/Stored/Used <br />OBSERVATIONS: Observed 2 containers of relish stored on the same shelf as cleaning supplies in dry storage room. Store <br />food items in a separate location. <br />CALCODE DESCRIPTION: All poisonous substances, detergents, bleaches, and cleaning compounds shall be stored separate from food, <br />utensils, packing material and food-contact surfaces. (114254, 114254.1, 114254.2) <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 /> 160 120 <br /> 103 <br />Sonia Lopez June 07, 2021 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />hand sink -- staff restroom (L) -- 16.00º F walk-in -- 41.00º F <br />chicken strip -- warmer in kitchen (R) -- 176.00º F chicken strip -- warmer in kitchen (L) -- 158.00º F <br />milk box -- 41.00º F mop sink -- 121.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />sanitzer bucket 200-300pm (quat) <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 />, <br />STEPHANIE RAMIREZ <br />Page 1 of 1EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0016447 PR0524526 SC101 10/18/2017