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SA NUJ OAHU I N Environmental Health Department <br /> L■ COUNTY <br /> ^ r1 `p' Greotrless grows here. Time In: 10:35 am <br /> Time Out: 11:12 am <br /> Food Program Official Inspection Report <br /> Name of Facility: DOMINOS Date: 02/27/2020 <br /> Address: 107 W NORTH ST, MANTECA 95336 <br /> Owner/Operator: TEAM CENTRAL VALLEY INC Telephone: (209)633-0000 <br /> Program Element: 1624-RESTAURANT/BAR 21-50 SEATS <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 /> #1 Demonstration of Knowledge <br /> OBSERVATIONS: 1 food handler card is expired. Provide new card within 30 days to gfahmy@sjgov.org <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare,handle or serve non-prepackaged potentially hazardous food,shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> #30 Food Storage/Display Properly Labeled <br /> OBSERVATIONS:corn flour container is lacking label. Provide label today. Corrected on site. <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: Katelyn Mitchell Expiration Date: May 28,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 121 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Employees Rest room--100.00°F Mozarella--Cold hold--41.00°F <br /> Shredded cheese--Cold hold--41.00°F 4 d Randell reach in cooler/under prep table--Prep line--41.00° <br /> F <br /> Front hand sink--110.00°F Pepperoni--Cold hold--40.00°F <br /> Walk in cooler--39.00°F Chicken wings--Cold hold--38.00°F <br /> Mop sink--124.00°F <br /> NOTES <br /> Sanitizer bucket is set up with QUAT 200 ppm. <br /> QUAT test strips are available. <br /> All potentially hazardous food on the cold hold have temp at 41 F or below <br /> FA0022562 PR0539463 SCO01 02/27/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 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 />