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n° rh Environmental Health Department <br /> fl <br /> v L-t� j COUNTY <br /> c � Greatness gr•Gws be. Time In: 10:53 am <br /> Time Out: 11:12 am <br /> COMPLAINT INSPECTION REPORT <br /> Name of Facility: DOMINOS#7926 Date: 12/17/2021 <br /> Address: 16605 S HARLAN RD, LATHROP 95330 <br /> Owner/Operator: Telephone: (209)299-3131 <br /> Program Element: 1600- FOOD PROGRAM Complaint#: C00054523 <br /> Responsible Party Contact: <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> C00054523 states: "COMPLAINANT HAD PIZZA DELIVERED FROM THIS FACILITY. COMPLAINANT ALLEGES THAT <br /> THERE WAS A COCKROACH BAKED IN TO THE PIZZA. (ON TOP OF THE CHEESE/BETWEEN MEAT) <br /> COMPLAINANT CONTACTED FACILITY. COMPLAINANT PROVIDED TWO PHOTOS." <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> General Manager(GM)is on site and is not aware of the compliant. Per GM, the facility does not have an issue with <br /> cockroaches. Facility has a pest control company that services routinely. <br /> Upon inspection this date, there were no cockroaches or insects within the facility.\ <br /> Observed a service report from Next Generation Pest Control.The most recent service date is 11-18-21. Company performs <br /> monthly service. <br /> No signature obtained <br /> Report typed up at the office 1:30pm-1:40pm <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/Damian Pierce, GM <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0024647 C00054523 SCO04 12/17/2021 <br /> EHD 16-23 Rev.01/07/2021 Page 1 of 1 Complaint Inspection Report <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 />