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�---; c A N , �0 AHn U I N Environmental Health Department <br /> Wks, J N CO U NTJY— ISI <br /> :�gkwa'I Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: DOMINO'S#7829, 1290 W COLONY RD , RIPON <br /> #45 Floors,Walls,Ceilings;Clean and Maintained <br /> OBSERVATIONS:Clean all walls,floors,and ceilings before opening. <br /> CALCODE 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: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM—LOCATION--TEMP°F—COMMENTS <br /> 2 dr Delfield prep cooler—right--41.00°F 2 dr Delfield prep cooler—left—41.00°F <br /> prep sink—120.00°F walk in—36.00°F <br /> mop sink—120.00°F hand sink—rr—100.00°F <br /> NOTES <br /> Final inspection of Domino's Pizza. <br /> Seating at around 10= PE 1623 <br /> Owner to return to 1868 E. Hazelton Ave., Stockton to complete PINK and GREEN forms. PLEASE BRING PHOTO ID <br /> AND/OR TAX ID. <br /> OK to permit as 1623($350)once the above has been completed and all fees have been paid. <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: John Pennycuff, superintendent <br /> EH Specialist: SCOTT SANGALANG Phone: (209)468-3452 <br /> SR0080215 SC523 07/11/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />