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SAN <br /> J O A Q U I N Environmental Health Department <br /> —CUU NTY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: WOODBRIDGE GOLF&COUNTRY CLUB, 1005 WOODBRIDGE 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 /> hot water--3 comp--120.00°F 2 door reach-in under prep--next to griddle(R)--40.00°F <br /> 2 door reach-in--under prep next to griddle(L)--41.00°F warm water--hand sink--101.00°F <br /> NOTES <br /> Note: Display upright refrigerator does not store phf, only stores bread, lettuce, and non phf beverages. <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: James Stewart, sig not captured <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0018530 PR0527370 SCO01 08/11/2020 <br /> EHD 16-23 Rev.08/10/2020 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />