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Environmental Health Department <br />Facility Name and Address: DOMINOS #7926, 16605 S HARLAN RD, LATHROP 95330 <br />Food Program Official Inspection Report <br /> #47 Signs Posted; Last Inspection Report Available <br />OBSERVATIONS: The most recent inspection report is not available. Maintain a copy of the most recent inspection report <br />on site and accessible. Correct with today's e-mailed report. <br />CALCODE DESCRIPTION: Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br />hands after using the restroom (113953.5) (b) No smoking signs shall be posted in food preparation, food storage, warewashing, and <br />utensil storage areas (113978). (c) Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br />such as salad bars and buffets. (d) Any food facility constructed before January 1, 2004, without public toilet facilities, shall prominently <br />post a sign within the food facility in a public area stating that toilet facilities are not provided (113725.1, 114381 (e)). Proper posting of <br />nutritional information at facilities with 20 or more chains in California (114094). <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 /> 400 <br /> 131 <br /> 120 <br />Kathleen Rosales September 21, 2027 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />wings - boneless -- 40.00º F pepperoni -- 40.00º F <br />shredded cheese blend -- 38.00º F pizza - out of the oven -- 201.00º F <br />shredded mozz cheese -- 40.00º F boneless wings - out of the oven -- 167.00º F <br />ham -- 39.00º F 2 door Delfield pizza prep - left -- 36.00º F <br />2 door Delfield pizza prep - right -- 33.00º F chicken -- 40.00º F <br />wings - bone in -- 38.00º F walk-in cooler -- 34.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />wiping cloth bucket 300ppm Quat / test strips available <br />No signature(s) obtained <br />Report typed in the office 2:08p-2:18p <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) 616-3025 <br />discussed w/ Chris Millan, Mgr I <br />KADEANNE LINHARES <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0024647 PR0543436 SC001 10/17/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD