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AN JOAQUIN <br /> Food Program Official Inspection Report <br /> Facility Name and Address: DOMINOS#7926, 16605 S HARLAN RD, LATHROP 95330 <br /> #40 Proper Use and Storage of Wiping Cloths <br /> OBSERVATIONS:The sanitizer level in the wiping cloth bucket is 100ppm Quat. Increase the sanitizer level to 200 ppm <br /> Quat(minimum). <br /> Corrected on site. <br /> CALCODE DESCRIPTION:Wiping cloths used to wipe service counters,scales or other surfaces that may come into contact with food <br /> shall be used only once unless kept in clean water with sanitizer. (114135, 114185.1 114185.3(d-e)) <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:The hand sink at the back of the house hand sink lacks a cold water knob. Provide a cold water knob to <br /> this sink by 2 weeks. <br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances, shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> #47 Signs Posted; Last Inspection Report Available <br /> OBSERVATIONS:The most recent inspection report is not available. Maintain a copy of the most recent inspection report <br /> on site and accessible. Correct with today's e-mailed report. <br /> CALCODE DESCRIPTION:Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br /> hands after using the restroom(113953.5)(b)No smoking signs shall be posted in food preparation, food storage, warewashing, and <br /> utensil storage areas(113978). (c)Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br /> such as salad bars and buffets. (d)Any food facility constructed before January 1, 2004, without public toilet facilities,shall prominently <br /> post a sign within the food facility in a public area stating that toilet facilities are not provided(113725.1, 114381 (e)). Proper posting of <br /> nutritional information at facilities with 20 or more chains in California(114094). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 143°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> shredded cheese-left prep table--33.00°F 2 door Delfield prep-left unit--35.00°F <br /> beef crumbles at 2 door Delfield prep-rightt unit--46.00°F feta cheese--36.00°F <br /> wings--36.00°F 2 door Delfield prep-right unit--48.00°F--range 46-49F <br /> pizza-out of oven--195.00°F shredded cheese-right prep table--35.00°F <br /> restroom hand sink--100.00°F chicken--33.00°F <br /> wings-out of oven--189.00°F <br /> FA0024647 PR0543436 SCO01 09/15/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 3 Food Program OIR <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 />