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Time In: 930 am <br /> Time Out: 11:00 am <br /> �P.Q•��k. P San Joaquin County <br /> .X 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 /> '9C%FORM <br /> Food Program Service Request Inspection Report <br /> Name of Facility: DOMINO'S PIZZA Date: 07/03/2018 <br /> Address: 1045 N WILSON WAY, STOCKTON 95205 <br /> Requestor: HEIDI MILLER,ACUTE CONSULTING, INC. Telephone: (925)818-4132 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0078747 <br /> Inspection Type: 523-Plan Check/Report Review <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Walk in cooler--39.00°F Hand sink -Front--122.00°F <br /> Hand sink--Dry Storage area--122.00°F Prep sink--121.00°F <br /> 2 D Delfield cooler 2--Front--38.00°F Hand sink--Employee rest room--103.00°F <br /> Hand sink--Back--117.00°F Mop sink--122.00°F <br /> 3 comp sink--126.00°F 2 D Delfield coolerl --Front--37.00°F <br /> Hand sink--Rest room--104.00°F <br /> NOTES <br /> 2 Gas tankless water heaters with 5.7GPM each with 60 degree rise.Total is 11.4 GPM. <br /> Facility will have 47 seats <br /> Probing thermometer in available on site. <br /> Provide a thermometer in each cooler. <br /> Provide QUAT test strips. QUAT has to be 200 ppm or above. <br /> Provide food safety certificate for one employee within 60 days and food handler cards within 30 days from hiring. <br /> OIR emailed to michaelconstruction2378@gmail.com <br /> Ok to permit. Obtain permit prior operating business. <br /> PE 1624 $350 <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: michael mendoza, Contractor <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> SR0078747 SC523 07/03/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />