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Time In: 1-00prn <br /> Time Out: 1:40 pm <br /> San Joaquin County <br /> Z Environmental Health Department <br /> N: - X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> 'gC%FD'{ta <br /> Food Program Service Request Inspection Report <br /> Name of Facility: Dollar General Store#15928 Date: 09/30/2015 <br /> Address: 12984 E BLOSSOM CT , LOCKEFORD 95237 <br /> Requestor: EMBREE ASSET GROUP, DOLLAR GENERAL Telephone: (512) 819-4786 <br /> Program Element: 1601 - FOOD PLAN CHECK Request#: SR0071767 <br /> Inspection Type: 521 - PLAN CHECK(1 hr minimum) <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> 2D True#3--65.00°F 3D True--41.00°F <br /> Mop Sink-- 104.00°F RR Women-- 100.00°F <br /> 2D True#2--41.00°F RR Men-- 100.00°F <br /> 2D True#1 --41.00°F <br /> NOTES <br /> This is a final Plan Check inspection. <br /> The following conditions are required before operation can began: <br /> -2D True#3 cooler must provide 41 F or below if potentially hazardous food is to be stored there. <br /> -Adjust, repair, or replace water heater to provide at least 120 F at mop sink. <br /> -Completely seal and water-proof mop sink from wall. <br /> - Post hand wash sign in restrooms. <br /> - Install permanent soap dispenser in restrooms (only portable pump style bottles in now) <br /> -At least one employee must obtain food manager's safety certification <br /> Note: 10 gallon water heater (electrical) has been installed. <br /> Prepackaged food only. No open food. No produce. No warewash. <br /> OK to issue permit after fee has been paid. Facility is a prepackaged only market around 10,000 square feet <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: P. Robert Hoover, Superintendent <br /> EH Specialist: JEFFREY WONG Phone: (209) 468-0335 <br /> SR0071767 SC521 09/30/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />