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S A I D J O M Q V I N Environmental Health Department <br /> COU N7Y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: DOMINO'S PIZZA, 402 E CHARTER WAY, STOCKTON 95206 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 Dr Delfield prep cooler x2--41.00°F--39F-41 F. Walk in cooler--39.00°F <br /> Chicken meat(prep table)--33.00°F Mop sink--126.00°F <br /> NOTES <br /> Official inspection report emailed. <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 <br /> is required,fees will be assessed at the current hourly rate. <br /> Q <br /> U �/" _ <br /> Received by: Name and Title: valeria lomeli, manager <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> FA0012059 PR0515178 SCO01 08/27/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />