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SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: DOMINOS#7940, 1205 S MAIN ST, MANTECA <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Required Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 105°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Walk in cooler--37.00°F Mop sink--125.00°F <br /> Hand sink--By front counter--104.00°F Rt 2 D Delfield reach in cooler/under prep table Pizza prep line <br /> --38.00°F <br /> Lt 2 D Delfield reach in cooler/under prep table--Pizza prep line- Prep sink--120.00°F <br /> -40.00°F <br /> Hand sink--By pizza prep line--103.00°F <br /> NOTES <br /> Final inspection. <br /> Floor and base(3/8"radius)at the front and back of the house has tile complying with Cal codes. <br /> Walls at the front has ceramic tiles and at the back has FRP complying with codes. <br /> Fire Department final inspection is scheduled 4/29/21 and Building Department final inspection is scheduled 04/30/21. <br /> Okay to operate after Fire Department and Building Department conduct final inspection. <br /> Obtain permit prior operating your business. <br /> PE 1623$350 to be paid for the new health permit. <br /> 5021 form to be updated. <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: GEHANE FAHMY Phone: (209)616-3052 <br /> SR0082790 SC523 04/28/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />