Laserfiche WebLink
rA �J�AQUIN Environmental Health Department <br /> COUNTY <br /> �+ Time In: 10-15 am <br /> •'C1FaRrti`. Vrecitness grows here. <br /> Time Out: 11:10 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LOCKEFORD SCHOOL Date: 10/20/2022 <br /> Address: 19456 N TULLY RD, LOCKEFORD 95237 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone: (209)331-7179 <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 /> 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: 124°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 106°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--staff restroom(R)--115.00°F prep sink--122.00°F <br /> milk cooler--cafeteria--40.00°F walk-in--40.00°F <br /> hand sink--staff restroom(L)--100.00°F 2 dr Crescor warmer--near cook line--145.00°F <br /> 2 dr Crescor warmer--near hand sink--165.00°F <br /> NOTES <br /> Routine inspection. <br /> Breakfast is served from 7:30-8:00 AM and lunch is served from 11:05 AM- 12:05 PM. <br /> Sanitizer bucket-300 ppm quat. <br /> Quat and thermolabel test strips available. <br /> Facility receives food items from SYSCO and Lodi USD Warehouse. <br /> Facility receives bread from Goldstar, milk from Crystal, and produce from General Produce and DOD. <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 SCO01 10/20/2022 <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 />