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SAN J U A Q U I N Environmental Health Department <br /> COUNTY <br /> G7reotness grows here, Time In: 1100 am <br /> Time Out: 12:07 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-BEAR CREEK HIGH SCHOOL Date: 11/03/2021 <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 -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 /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Observed ice accumulation on the floor of the walk-in freezer. <br /> Clean <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth,durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Ellen Everitt Expiration Date:July 03,2022 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Dasani display refrigerator--Athletic snack Bar--45.00°F walk-in--41.00°F <br /> 3 door Dasani display(right side)--"Student Store"room--41.000 milk boxes--41.00°F <br /> F <br /> counter top refrigerator--Athletic snack bar--46.00°F hot dog--display warmer--124.00°F <br /> hand sink--near 3 comp--108.00°F hand sink--near snack bar--100.00°F <br /> pizza--warmer--139.00°F in counter prep sinks--120.00°F <br /> taco meat--hot hold/assembly line--153.00°F 2 door Dasani display refrigerator--across from ice machine <br /> 42.00°F <br /> 3 comp--131.00°F Dasani counter display refrigerator--snack bar- 41.00°F <br /> mopsink/hand sink--"Student Store"room--139.00°F Upright Dasani display refrigerator--snack bar- 41.00°F <br /> hot dog--display warmer--170.00°F <br /> NOTES <br /> FA0001106 PRO163038 SCO01 11/03/2021 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 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 />