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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ <br /> COUNTY— <br /> Time In: <br /> OUNTYTlmeln: 10-00 <br /> E"ram <br /> ^'•ti7F Opt�% Greotness grows here. 1: <br /> 15 <br /> Time Out: 11:15 am <br /> Food Program Official Inspection Report <br /> Name of Facility: DOLLAR GENERAL#13632 Date: 11/28/2018 <br /> Address: 2907 E WATERLOO RD, STOCKTON 95205 <br /> Owner/Operator: DOLGEN CALIFORNIA, LLC Telephone: (615)855-4024 <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:Paper towel dispenser in women rest room is broken. Repair/replace in 3 days. <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 /> #47 Signs Posted; Last Inspection Report Available <br /> OBSERVATIONS:Last inspection report is not available. Retain the most recent report on site at all times. <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 /> 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 /> Hand sink--Women rest room--100.00°F Walk in cooler--40.00°F <br /> 3 D True cooler--Bacon--33.00°F Meat display cooler--41.00°F <br /> Hand sink--Men rest room--100.00°F Produce display cooler--41.00°F <br /> Poultry display cooler--41.00°F <br /> NOTES <br /> FA0002093 PRO161907 SCO01 11/28/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />