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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Time In: 1:10 pm <br /> ^'•ti7FOpt�% Greotness grows here. <br /> Time Out: 1:41 am <br /> Food Program Official Inspection Report <br /> Name of Facility: Dollar Tree#06120 Date: 09/11/2019 <br /> Address: 450 S Cherokee Ln, LODI 95240 <br /> Owner/Operator: DOLLAR TREE STORES, INC. Telephone: (757)321-5000 <br /> Program Element: 1618-RETAIL MKT>2000 SQ FT (PREPKGD/LTD PREP) <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #30 Food Storage/Display Properly Labeled <br /> OBSERVATIONS: I observe beans scattered on the dry food storage shelf. Clean today. <br /> CALCODE DESCRIPTION:Food shall be stored in approved containers and labeled as to contents. Food shall be stored at least 6" <br /> above the floor on approved shelving. (114047, 114049, 114051, 114053, 114055, 114067(h), 114069(b)) <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: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Mop sink--131.00°F Display cooler--41.00°F <br /> Hand sink--Rest room--104.00°F <br /> NOTES <br /> Prepackaged food only. No ware wash on site. <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 /> <4//— <br /> Received by: Name and Title: Luis Chan, District Manager <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0023050 PR0540324 SCO01 09/11/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />