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SA N'tJ D A Q U I N Environmental Health Department <br /> I��kiw <br /> —COUNTY <br /> Greorness grows here, Time In: 10.33 am <br /> Time Out: 11:02 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-PODESTA RANCH ELEM SCHOOL Date: 09/15/2020 <br /> Address: 9950 WINDMILL PARK DR, STOCKTON 95209 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone: (209)331-7121 <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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:Warm water at staff restroom hand sink(left restroom)is at 112F and is on an nonadjustible faucet. <br /> Provide warm water at this sink 100F-108F, if faucet is non adjustable. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Yolanda Baledio Expiration Date:July 19,2023 <br /> Warewash Chlorine(Cl): ppm Heat: 170°F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 109°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> warm water--staff restroom(R)-- 106.00°F walk-in--41.00°F <br /> warm water--109.00°F hot water--3 comp--120.00°F <br /> warm water--staff restroom(L)--112.00°F <br /> NOTES <br /> Lunch is placed in bags and handed out on M,W,F. <br /> Milk box is not in use at this time(milk is stored in walk-in) <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: Yolanda Baledio, manager, sig not ca <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0019089 PR0528207 SCO01 09/15/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />