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SAN J U A Q U I N Environmental Health Department <br /> COUNTY <br /> Greotness grows here, Time In: 1054 am <br /> Time Out: 12:12 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-BEAR CREEK HIGH SCHOOL Date: 09/29/2020 <br /> Address: 10555 THORNTON RD, 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 /> #33 Nonfood Contact Surfaces Clean <br /> OBSERVATIONS:Observed ice accumulation on a box of ice cream. Clean. <br /> Corrected onsite. Ice cream box removed. <br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Elle Evertitt Expiration Date:July 12,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 137°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 144°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Dasani--Student Store(L)--38.00°F upright refrigerator--30.00°F <br /> warm water--hand sink(smaill snack)--100.00°F hot water--hand sink--100.00°F <br /> warm water--hand sink near 3 comp--144.00°F hot water--3 comp--137.00°F <br /> warm water--hand sink restroom--115.00°F milkbox--41.00°F <br /> walk-in--40.00°F Dasani--Student Store(R)--30.00°F <br /> hot water--prep sink-- 121.00°F hot water--2 comp across from walk-in--127.00°F <br /> hand sink--100.00°F display refrigerator Dasani--36.00°F <br /> in counter sink--near snack bar--141.00°F Dasani--counter refrigerator--38.00°F <br /> warm water--hand sink/mop sink--143.00°F milkbox--outside of small milkbox--41.00°F <br /> NOTES <br /> No comment entered. <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: Ellen Everitt, manager, sig not captur <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0001106 PRO163038 SCO01 09/29/2020 <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 />