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SAN ]OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: GINGERBUGS, 2 W OAK ST , LODI <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 117°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 117°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door delfoeld--kitchen--37.00°F 1 door frigidare with non PHF--front--44.00°F <br /> NOTES <br /> Ok to issue permit once fee is paid. Return to office before providing food to customers. <br /> Program 1623 Fee$350 <br /> Equipment: Rhemm 9 Kw 30 gallon water heater, 3 comp sink, hand sink, mop sink, 2 rest rooms <br /> Facility will be currently making pizzas. Dough will be obtained pre-made. In the future more simple food items will be provided <br /> (eg chicken nuggets). <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 /> 5�?A <br /> Received by: Name and Title: james powell, owner <br /> EH Specialist: MARIBEL FLOHRSCHLITZ Phone: (209)953-7817 <br /> SR0081047 SC523 01/07/2020 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />