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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> .r{ � 7fa�p[r+85S grows hire, Time In: 10.30 am <br /> Time Out: 11:06 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LOCKEFORD SCHOOL Date: 02/01/2022 <br /> Address: 19456 N TULLY RD, LOCKEFORD 95237 <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: Annabelle Terra Expiration Date:July 29,2026 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--left staff restroom--100.00°F milk cooler--cafeteria--41.00°F <br /> 2 dr Crescor warmer#1 --next to hand sink--189.00°F hand sink--right staff restroom--100.00°F <br /> 2 dr Crescor warmer#2--next to cook line--168.00°F walk-in cooler--40.00°F <br /> prep sink--123.00°F <br /> NOTES <br /> Routine inspection. <br /> Per Annabelle the walk-in freezer was serviced recently and they have ordered a replacement part to prevent ice build up. <br /> The facility prepares hot and cold meals on site. <br /> Breakfast is distributed between 8:00-8:30 AM and lunch is distributed between 11:30 AM- 12:40 PM. <br /> The food is ordered from SYSCO and Lodi Unified School District Warehouse. <br /> Bread is ordered from Goldstar, produce is ordered from DOD, and milk is ordered from Crystal. <br /> All utensils are disposable at this time. <br /> Sanitizer bucket-400 ppm quat. <br /> Quat and thermal test strips available. <br /> Discussed report with Annabelle Terra. <br /> No signature captured. <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: <br /> EH Specialist: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0000041 PRO161850 SC101 02/01/2022 <br /> EHD 16-23 Rev.09/16/2020 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.sjgov.org/EHD <br />