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a�rN San Joaquin County <br /> Environmental Health Department <br /> W' 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> �.. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 9G�F�.AN� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: Family Dollar Store #11298, 505 W Harding Way, STOCKTON 95204 <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS: Dust under shelves at customer area. Clean weekly. <br /> CAL CODE DESCRIPTION: The walls/ceilings shall have durable, smooth, nonabsorbent, light-colored, and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable. Approved base coving shall be provided in all areas, except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <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 /> 12 door reach in--41 00° F <br /> NOTES <br /> Mop sink 135 F <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: Nathan Gobbell,Assistant Store Mar <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0022538 PR0539431 SCO01 10/26/2015 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />