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i ,71e,d O A Q U I iII4,f1, Environmental Health Department <br /> —IhCOU NTS <br /> Food Program Official Inspection Report <br /> Facility Name and Address: DOMINOS#7926, 16605 S HARLAN RD, LATHROP 95330 <br /> NOTES <br /> sanitizer test strips are available <br /> No signature obtained <br /> Report typed up at the office 3:18pm-3:40pm <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: Discussed w/Haylee Faultner, shift le <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0024647 PR0543436 SCO01 09/15/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 3 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 />