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o..... San Joaquin County <br /> :< Environmental Health Department <br /> N: a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c4.. iP• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> ��FORN <br /> Food Program Complaint Inspection Report <br /> Facility Name and Address: Costco Wholesale#38, 1616 E Hammer LN, STOCKTON 95210 <br /> 2. Dough waiting to puff up(62 F)on prep table <br /> 3. Dough pressed by machine and drizzled with tomato sauce(77 F). Tomato sauce comes in sealed bags, and are used up <br /> in approximately 25 minutes. <br /> 4. Toppings from Reah In (41 F)are placed on pizza <br /> 5. Pizza baked at 494 F for 8 to 10 minutes <br /> 6. Pizza are placed under Heat Lamp(pizza display) <br /> Condition that can lead to foodborne illness was not observed. <br /> OIR emailed to w038mgr@costco.com;w038mgr2@costco.com;w038mgr3@costco.com;w038mgr4@costco.com <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: shaheem triplett, asst manger <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0001705 C00041911 SCO04 07/26/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Complaint Inspection Report <br />