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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0543436
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COMPLIANCE INFO
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Entry Properties
Last modified
8/5/2020 7:33:20 AM
Creation date
8/5/2020 7:31:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0543436
PE
1623
FACILITY_ID
FA0024647
FACILITY_NAME
DOMINOS #7926
STREET_NUMBER
16605
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
16605 S HARLAN RD
P_LOCATION
07
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Environmental Health Department <br />Facility Name and Address: DOMINOS #7926, 16605 S HARLAN RD, LATHROP 95330 <br />Food Program Official Inspection Report <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 400 <br /> 125 <br /> 100 <br />needed <br />OVERALL INSPECTION NOTES AND COMMENTS <br />pasta -- 31.00º F chicken wings -- 39.00º F <br />2 door Delfield prep - left unit -- 41.00º F chicken -- 37.00º F <br />walk-in cooler -- 38.00º F mozzarella cheese -- 41.00º F <br />2 door Delfield prep - right unit -- 41.00º F pizza - out of oven -- 197.00º F <br />pepperoni -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />quat test strips are available <br />No signature / COVID-19 <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: <br />EH Specialist:Phone:(209) 468-0330 <br />Discussed w/ Andrea Roman, GM <br />KADEANNE LINHARES <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0024647 PR0543436 SC001 08/04/2020 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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