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EHD Program Facility Records by Street Name
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JACKSON
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2043
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1600 - Food Program
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PR0543584
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COMPLIANCE INFO
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Entry Properties
Last modified
5/21/2020 4:20:25 PM
Creation date
1/23/2019 10:37:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0543584
PE
1618
FACILITY_ID
FA0024757
FACILITY_NAME
FAMILY DOLLAR #32181
STREET_NUMBER
2043
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320-2081
CURRENT_STATUS
01
SITE_LOCATION
2043 JACKSON AVE
P_LOCATION
06
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Tl : 11 <br /> E"ram <br /> ^'•ti7F Opt�� Greotness grows here. <br /> Timee OOutut: 11::3434 am <br /> Food Program Official Inspection Report <br /> Name of Facility: FAMILY DOLLAR#32181 Date: 09/14/2018 <br /> Address: 2043 JACKSON AVE, ESCALON 95320-2081 <br /> Owner/Operator: FAMILY DOLLAR INC Telephone: <br /> Program Element: 1618-RETAIL MKT>2000 SQ FT (PREPKGD/LTD PREP) <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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: n/a Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> mop sink-- 138.00°F 6 dr reach in Fresh Dairy--35.00°F <br /> 1 dr True Coke--register--40.00°F 1 dr Habco 7-Up--register--42.00°F--No PHFs <br /> 6 dr reach in Zero Zone Cold Drinks--39.00°F hand sinks--both rrs--100.00°F <br /> 1 dr Pepsi south--register--42.00°F--No PHFs 1 dr Pepsi north--register--44.00°F--No PHFs <br /> 1 dr True--back--41.00°F <br /> NOTES <br /> Pre-packaged foods only. <br /> No violations observed. <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 /> �V1 <br /> Received by: Name and Title: anastazja Stelmach,ASM <br /> EH Specialist: SCOTT SANGALANG Phone: (209)468-3452 <br /> FA0024757 PR0543584 SCO01 09/14/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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