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S A N J a A Q U I N Environmental Health Department <br /> COUNTY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: DOMINO'S#8588, 305 S HUTCHINS ST, LODI 95240 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--restroom--100.00°F hand sink--near prep line--101.00°F <br /> 2 door reach-in--pizza prep(R)--40.00°F hand sink--next to 3 comp--102.00°F <br /> 3 comp--120.00°F mop sink--122.00°F <br /> walk-in--41.00°F 2 door reach-in--pizza prep(L)--40.00°F <br /> NOTES <br /> No comment entered. <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 Safety <br /> Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Matt, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0000932 PRO162014 SCO01 12/05/2022 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />