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SAN J U A Q U I N Environmental Health Department <br /> COUNTY <br /> G7reotness grows here, Time In: 10.30 am <br /> Time Out: 11:33 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-BEAR CREEK HIGH SCHOOL Date: 04/07/2021 <br /> Address: 10555 THORNTON RD, STOCKTON 95209 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone: (209)331-7000 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION (Chargeable) <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Ellen Everitt Expiration Date:July 19,2022 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 129°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 103°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> in counter prep sink--across fromoven-- 125.00°F Dasani--display referigerator--41.00°F <br /> Dasani display#11--48.00°F mop sink--123.00°F <br /> hand sink--next to service window--100.00°F walk-in--41.00°F <br /> walk-in--41.00°F hand sink--next to 3 comp--103.00°F <br /> hamburger--warmer(sports concession room)--136.00°F Dasani display refrigerator(L)--student store--39.00°F <br /> 2 comp--across from office--131.00°F in counter prep sink--across from warmer--149.00°F <br /> Women's restroom--hand sink--138.00°F 3 comp--129.00°F <br /> hand sink--sports concession room--100.00°F Dasani display#1--38.00°F <br /> Dasani display refrigerator(R)--Student Store--40.00°F milkbox--41.00°F <br /> NOTES <br /> Note: Dasani#ll display refrigerator is at 48F and is currently not in use. <br /> Per food service this unit stores non potentially hazardous food (Gatorade and water) <br /> No Violaitons. <br /> Signature not captured due to COVID <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, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0001106 PRO163038 SC101 04/07/2021 <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 />