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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> 7fa�p[r+85S grows here. Time In: 825 am <br /> Time Out: 9:23 am <br /> Food Program Official Inspection Report <br /> Name of Facility: DOLLAR GENERAL# 15928 Date: 08/26/2020 <br /> Address: 12984 BLOSSOM Ct, LOCKEFORD 95237 <br /> Owner/Operator: DOLGEN CALIFORNIA LLC Telephone: (615)855-4638 <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 /> #44 Premises: Clean/Litter Free;Vermin-Proof <br /> OBSERVATIONS:Empty boxes piled around the mop sink. Remove these empty boxes and keep mop sink accessible <br /> today. <br /> CALCODE DESCRIPTION:The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof. (114067 6), 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> #44 Premises: Clean/Litter Free;Vermin-Proof <br /> OBSERVATIONS:Empty boxes piled around the mop sink. Remove these empty boxes and keep mop sink accessible <br /> today. <br /> CALCODE DESCRIPTION:The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof. (114067 Q), 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> #52 Facility uses CO2 and/or nitrogen <br /> OBSERVATIONS:Pressurized cylinders are not securely fastened to a rigid structure. Corrected today. <br /> CALCODE DESCRIPTION: <br /> #52 Facility uses CO2 and/or nitrogen <br /> OBSERVATIONS:Pressurized cylinders are not securely fastened to a rigid structure. Corrected today. <br /> CALCODE DESCRIPTION: <br /> FA0023094 PR0540417 SCO01 08/26/2020 <br /> EHD 16-23 Rev.08/10/2020 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.sjgov.org/EHD <br />