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SKJOAQUIN Environmental Health Department <br /> I '•! __ C Q U N T Y �1 Time In: 12:33 pm <br /> Time Out: 1:11 pm <br /> Greatness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: WOODBRIDGE AM/PM Date: 02/06/2023 <br /> Address: 18806 N LOWER SACRAMENTO RD ,WOODBRIDGE 95258 <br /> Requestor: LODI PETROLEUM INC,WOODBRIDGE GAS MARKET& LIQUOR Telephone: (925)325-8733 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0086303 <br /> Inspection Type: 061 -CONSULTATION <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: Sandesh Kaur Bola Expiration Date: February 20,2026 <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 /> hand sink--across from counter warmer--120.00°F 2 door upright display refrigerator--41.00°F <br /> walk-in w/11 display doors--43.00°F counter hot case--143.00°F <br /> counter sandwich display refrigerator--40.00°F hand sink--restroom--100.00°F <br /> mop sink--120.00°F display refrigerator--next to soda dispanser--40.00°F <br /> 3 comp--120.00°F <br /> NOTES <br /> PE 1617 <br /> Ok to issue 2023 permit once fee is paid. <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)616-3069 <br /> FA0003199 SR0086303 SC061 02/06/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 1 Food Program Service Request Inspection Report <br />