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�...Q .. P San Joaquin County <br /> y� Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �..• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> '9Gl P Oftt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: WOODBRIDGE PIZZERIA, 18879 N LOWER SACRAMENTO RD,WOODBRIDGE 95258 <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 /> 3 comp--120.00°F display refrigerator--bar--44.00°F <br /> hand sink--restroom(R)--120.00°F prep sink--121.00°F <br /> 2 door True--41.00°F 2 door Turbo Air--40.00°F <br /> 3 door under prep--40.00°F hand sink--restroom(L)--120.00°F <br /> NOTES <br /> sanitizer bucket greater than 200ppm (chlorine) <br /> There are currently(3)fifty pound carbon dioxide(CO2)cylinders at the facility. Please be aware that CO2 is an asphyxiant <br /> and is therefore considered a hazardous material subject to regulation under Chapter 6.95, Health and Safety Code, Division <br /> 20, The reportable quantity for CO2 is 137 pounds or 1,200 cubic feet in San Joaquin County(SJC). You will be placed into <br /> the SJC Environmental Health Program for Hazardous Material Business Plan (HMBP)and will be required to report your <br /> hazardous materials in the California Environmental Reporting System (CERS). For more information or to comply with the <br /> reporting requirement in CERS, please go to: http://cers.calepa.ca.gov/ <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: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0012179 PR0515484 SCO01 02/17/2017 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program OIR <br />