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Environmental Health Department <br />Time In: <br /> 3:10 pm <br /> 2:30 pm <br />Time Out: <br />Program Element: 1614 - FOOD EST>1001 SQ FT W/O SEATING <br />Telephone: Owner/Operator: QUALITY PIZZA INC <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 402 E CHARTER WAY, STOCKTON 95206 <br />Date: 09/22/2021Name of Facility: DOMINO'S PIZZA <br />Food Program Official Inspection Report <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 300 <br /> 120 <br /> 100 <br />Gerald Verano March 11, 2024 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />No Temperature Data Collected <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />sanitizer bucket - 300 ppm quat <br />no violations during inspection <br />inspection reviewed with manager <br />no signature due to covid 19 <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:Phone: <br />, <br />NICHOLAS WIESEMAN <br />Page 1 of 1EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0012059 PR0515178 SC001 09/22/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com