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Time In: 121 pm <br /> Time Out: 2:00 om <br /> �...Q .. C San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �..• _ P• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 4�IFO'Rt� <br /> Food Program Official Inspection Report <br /> Name of Facility: DOLLAR GENERAL#13632 Date: 10/28/2016 <br /> Address: 2907 E WATERLOO RD, STOCKTON 95205 <br /> Owner/Operator: DOLGEN CALIFORNIA, LLC Telephone: (615)855-4638 <br /> Program Element: 1618-RETAIL MKT>2000 SQ FT (PREPKGD/LTD PREP) <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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 /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:No paper towel in dispenser in men's restroom, only a roll sitting on top Place paper towels inside <br /> dispenser. Corrected. <br /> CALCODE DESCRIPTION:Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br /> well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br /> facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in <br /> establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <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 /> 3D Truew--39.00°F baby carrots--produce display--41.00°F <br /> salad--produce display--41.00°F Walk In--39.00°F <br /> poultry--meat display--38.00°F pork--meat display--39.00°F <br /> beef--meat display--39.00°F smoothies--produce display--41.00°F <br /> NOTES <br /> Note: No food manager safety certification needed because all pre-packaged including raw meat on display which was <br /> packaged off-site before delivery here. <br /> No warewashing <br /> OIR emailed to mktl3632@dollargeneral.com <br /> FA0002093 PRO161907 SCO01 10/28/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OIR <br />