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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Food Program Service Request Inspection Report <br />Facility Name and Address: DOMINO'S, 16608 S HARLAN RD , LATHROP <br /> #35 Equipment/Utensils Approved and in Good Repair <br />OBSERVATIONS: The sneeze guard between the customer area and the food prep area is lacking (due to be delivered this <br />afternoon). Send a photo once the sneeze guard is installed. E-mail to Kadeanne Linhares (klinhares@sjcehd.com). Correct <br />prior to opening. <br />CALCODE DESCRIPTION: All utensils and equipment shall be fully operative and in good repair. (114175). All utensils and equipment <br />shall be approved, installed properly, and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br />114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <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 /> 120 <br /> 100 <br />needed <br />walk-in cooler -- 70.00º F -- Just plugged in. Do not store any <br />potentially hazardous foods in this unit until it is 41F or lower. <br />Correct prior to opening. <br />2 door Delfield prep unit - right unit -- 20.00º F <br />FOH hand sink -- 100.00º F BOH hand sink -- 120.00º F <br />mop sink -- 122.00º F 2 door Delfield prep unit - left unit -- 41.00º F <br />1 door Coke Imbera -- 41.00º F restroom hand sink -- 100.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />OK to permit as a 1623 once conditions #7 and #35 are corrected. Send photos of correction to Kadeanne Linhares <br />(klinhares@sjcehd.com) <br />Return to 1868 E. Hazelton Ave. in Stockton to pay the annual permit fee and fill out paperwork prior to opening. <br />Anticipated opening day is 5-9-18 <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:(209) 468-0330 <br />Michael Mendoza, GC MJM Const. <br />KADEANNE LINHARES <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program Service Request Inspection Report <br /> SR0077235 SC523 05/04/2018