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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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PR0160228
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COMPLIANCE INFO_2022
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Last modified
10/5/2022 1:20:38 PM
Creation date
5/4/2022 3:56:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160228
PE
1632
FACILITY_ID
FA0000915
FACILITY_NAME
LODI USD-LODI HIGH SCHOOL
STREET_NUMBER
3
Direction
S
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
03511012
CURRENT_STATUS
01
SITE_LOCATION
3 S PACIFIC AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SA N'tJ D A Q U I N Environmental Health Department <br /> I��kiw <br /> —COUNTY <br /> Greorness grows here, Time In: 9:58 am <br /> Time Out: 10:30 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-LODI HIGH SCHOOL Date: 05/26/2022 <br /> Address: 3 S PACIFIC AVE, LODI 95242 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone: (209)331-7179 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: INSPECTION/REINSPECTION (Chargeable) Reinspection on or after: 06/09/2022 <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 /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization MAJOR <br /> OBSERVATIONS:Dishwasher is not meeting the 160F minimum temp at plate level. <br /> After several cycles the test strip did not turn black. <br /> Facility to continue to wash, rinse and sanitize in the 3 compartment sink. <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized. (I 13984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101 (b-d), 114105, 114109, 114111, 114113, 114115(a, b, d), 114117, 114125(b), 114135, 114141) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °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 /> No Temperature Data Collected <br /> NOTES <br /> Re-inspection <br /> A second re inspection to occur. <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: Jose Villanueva, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0000915 PRO160228 SC333 05/26/2022 <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 />
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