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Time In: 9:40 am <br /> Time Out: 10:00 am <br /> Q�4utn. San Joaquin County <br /> �.•�ca••.oG <br /> Environmental Health Department <br /> W. <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> Food Program Official Inspection Report <br /> Name of Facility: Family Dollar Store#11298 Date: 11/17/2015 <br /> Address: 505 W Harding Way,STOCKTON 95204 <br /> Owner/Operator: FAMILY DOLLAR STORES, INC Telephone (866) 37;-642.0 <br /> Program Element: 1618 - RETAIL MKT>2000 SQ FT (PREPKGD/ LTD PREP) <br /> Inspection Type: INSPECTION/REINSPECTION 1 hr minimum <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 foodbome 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: OF <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: OF <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> All violations were corrected <br /> NOTE: set up sticky traps at mop sink room to monitor for roaches <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: kyto sosongkham, store manager <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0022538 PR0539431 SC333 1V17/2015 <br /> EHD 1623 Rev.06/30115 Page 1 Of 1 Food Program OIR <br />