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SAN <br /> J O A U I Environmental Health Department <br /> COUNTY <br /> Grratness grows here, <br /> Food Program Service Request Inspection Report <br /> Name of Facility: FAMILY DOLLAR#32181 Date: 09/13/2024 <br /> Address: 2043 Jackson AVE , ESCALON 95320 <br /> Requestor: Telephone: ()- <br /> Program Element: 1602- Food Consultation Request#: SR2400461 <br /> Inspection Type: 521 - Plan Check/Report Review <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 <br /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Multi D display freezer is not functioning properly. Repair unit to provide 1 OF or below before operating. <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 /> OBSERVATIONS <br /> Name on Food Safety Certificate N/A 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 /> 6 D display cooler/dairy--370 Fahrenheit 6 D display cooler/beverages--410 Fahrenheit <br /> Hand sink--Rest room right side--1000 Fahrenheit Hand sink--Rest room left side--1010 Fahrenheit <br /> Mop sink--1240 Fahrenheit <br /> NOTES <br /> Consultation inspection. <br /> Okay to operate. <br /> Obtain permit prior operating your business. <br /> PE1618 $327 to be paid for the new permit. <br /> 5021 form to be updated. <br /> FA0024757 SR2400461 SC521 09/13/2024 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Food Program Service Request Inspection Report <br />