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COMPLIANCE INFO_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160359
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COMPLIANCE INFO_2022
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Last modified
11/3/2022 7:56:07 AM
Creation date
4/11/2022 9:37:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160359
PE
1632
FACILITY_ID
FA0004299
FACILITY_NAME
LODI USD-ELKHORN SCHOOL
STREET_NUMBER
10505
Direction
N
STREET_NAME
DAVIS
STREET_TYPE
RD
City
STOCKTON
Zip
95207
APN
07007015/16
CURRENT_STATUS
01
SITE_LOCATION
10505 N DAVIS RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Time In: <br />11:19 am <br />10:46 am <br />Time Out: <br />Program Element: 1632 - EXEMPT FOOD <br />Telephone: (209) 331-7000 Owner/Operator: LODI UNIFIED SCHOOL DISTRICT <br />Inspection Type: ROUTINE INSPECTION (Chargeable) <br />Address: 10505 N DAVIS RD, STOCKTON 95207 <br />Date: 04/06/2022Name of Facility: LODI USD-ELKHORN SCHOOL <br />Food Program Official Inspection Report <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br />Candy Rieger July 19, 2022 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Hand sink -- 100.00º F Noodles -- 160.00º F <br />hand sink -- Mens restroom -- 103.00º F Milkbox -- 41.00º F <br />hand sink -- Womens restroom -- 100.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Observed Transport Sheet <br />All food that is potentially Hazardous is greater than 135F or higher or 41F or lower. <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:Phone: <br />Kim Thou, <br />STEPHANIE RAMIREZ <br />Page 1 of 1EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0004299 PR0160359 SC101 04/06/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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