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Program Element: 1601 - FOOD PLAN CHECK <br />Telephone: (925) 818-4132 Requestor: HEIDI MILLER, ACUTE CONSULTING, INC. <br />Inspection Type: 523 - Plan Check/Report Review <br />Address: 2605 PACIFIC AVE , STOCKTON 95204 <br />Date: 07/08/2021Name of Facility: DOMINO'S PIZZA <br />Food Program Service Request Inspection Report <br /> 2:00 pm <br /> 1:20 pm <br />Time Out: <br />Time In: <br />Request #: SR0083179 <br />Environmental Health Department <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 /> #1 Demonstration of Knowledge <br />OBSERVATIONS: By 60 days from opening at least one employee shall have the food safety certificate. <br />All other employees shall have the food handler cards. <br />CALCODE DESCRIPTION: All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br />assigned duties. (113947) Food facilities that prepare, handle or serve non-prepackaged potentially hazardous food, shall have an <br />employee who has passed an approved food safety certification examination. (113947-113947.1) Any food handler hired after June 1, <br />2011 shall obtain a Food Handler Card within 30 days (113948). <br />OVERALL INSPECTION NOTES AND COMMENTS <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 /> 200 <br /> 120 <br /> 120 <br />right 2 door prep -- 41.00º F left 2 door prep -- 41.00º F <br />1 door sm coca cola -- 41.00º F 1 door galaxy -- 38.00º F <br />walk in -- 38.00º F 1 door coca cola cooler -- 48.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Ok to issue permit once fee is paid <br />Return to office to pay permit fee $376 <br />Program 1614 <br />Correct the following before opening: <br />1. Install wall bracket for mops, ect at mop basin <br />2. Silicone behind all sinks <br />3. Post hand wash signs in rest rooms <br />4. Paint bare wood strip at window sill <br />5. Install soap/paper towel dispensers for all hand sinks <br />Equipment: 2 Navien Tankless water heaters, 4 hand sinks, prep sink, 3 comp sink, mop basin, 2 rest rooms, clothes washer <br />Page 1 of 2EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br /> SR0083179 SC523 07/08/2021