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SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: RIO VALLEY CHARTER SCHOOL, 1110 W KETTLEMAN LN , LODI 95240 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 114°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink Men rest room--101.00°F Frigidaire residential cooler -2nd floor--39.00°F <br /> Hand sink Women rest room--100.00°F Whirlpool residential cooler -Kitchen--46.00°F <br /> NOTES <br /> School consultation inspection. <br /> School will serve breakfast from 8:30-9:15 AM. Only prepackaged cereal snacks and shelf stable milk. <br /> Okay to operate. Obtain permit prior operating business. <br /> PE 1632 <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: Leslie Leedy, Director, Rio Valley Cha <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0021267 SR0080726 SC061 06/14/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />