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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Tl : 11-50 <br /> E"ram <br /> ^'•ti7F Opt�� Timee OOututGreotness grows here. :15: 122:15 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: FAMILY DOLLAR#32181 Date: 11/01/2019 <br /> Address: 2043 JACKSON AVE, ESCALON 95320-2081 <br /> Owner/Operator: DOLLAR TREEE STORES 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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 6 dr reach in Zero Zone--41.00°F hand sink--rr--100.00°F <br /> mop sink--120.00°F 6 dr reach in Fresh Dairy--39.00°F <br /> NOTES <br /> All 1 dr coolers have no PHFs. <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 /> L_9� <br /> Received by: Name and Title: lacey reape,ASM <br /> EH Specialist: SCOTT SANGALANG Phone: (209)468-3452 <br /> FA0024757 PR0543584 SCO01 11/01/2019 <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 />