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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... _ P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> QLtkoR�'� <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: FAMILY DOLLAR#31867, 2318 S AIRPORT WAY, STOCKTON 95206 <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: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 dr Imbera Coke--53.00°F--no PHF mop sink--113.00°F <br /> 6 dr Zero Zone -dairy--36.00°F 1 dr Habco 7-Up--43.00°F--no PHF <br /> 1 dr True Pepsi south--37.00°F hand sink--restroom--67.00°F <br /> 6 dr Zero Zone -cold drinks--39.00°F 1 dr True Pepsi--north--41.00°F <br /> NOTES <br /> Service request inspection for Family Dollar. Facility opened April 6, 2018; however, never obtained a health permit. <br /> All pre-packaged foods. No food prep. <br /> Return to 1868 E. Hazelton Ave., Stockton with TAX ID to complete change of ownership form and pay for permit. <br /> OK to permit as PE 1618 ($287)once all fees have been paid and change of ownership form has been completed. <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: SCOTT SANGALANG Phone: (209)468-3452 <br /> FA0001729 SR0080427 SC061 04/09/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />