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SAN J 0 A Q U I N Environmental Health Department <br /> CC)U NTY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: MICKE GROVE GOLF LINKS, 11401 N MICKE GROVE RD, LODI 952409426 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed 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 /> 1 dr QBD Pepsi display--customer area--41.00°F 2 dr reach-in w/prep top--kitchen--41.00°F <br /> chicken patty--next to griddle--73.00°F <br /> NOTES <br /> Re-inspection. <br /> Observed current food handler cards for employees. <br /> A soap dispenser was installed at the kitchen hand sink. <br /> Cold water was available at the 2 comp sink. <br /> SB180 and hand wash sign sign were posted. <br /> Discussed report with Nick Castillo, Cook. <br /> No signature captured. <br /> Re-inspection in 2 weeks if time log or documentation for food items kept next to griddle is not sent to dafonskaia@sjgov.org <br /> by 3/25/22. <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: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0000245 PRO162788 SC333 03/11/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 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 />