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Time In: 10:45 am <br /> Time Out: 11:02 am <br /> a�rN San Joaquin County <br /> 1�'��ff COG <br /> Environmental Health Department <br /> W. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> igi65 <br /> Food Program Official Inspection Report <br /> Name of Facility: $1 ONLY STORE Date: 11/13/2015 <br /> Address: 15040 S HARLAN RD, LATHROP 95330 <br /> Owner/Operator: DOLLAR TREE STORES, INC. Telephone. (757) 321-5000 <br /> Program Element: 1620- RETAIL MKT26-300 SID FT (INCIDENTAL FOODS) <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 foodbome illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS: No paper towels inside the restroom. Provide today. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing, food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(f)) <br /> #43 Toilet Facilites Clean/Supplied/ Maintained <br /> OBSERVATIONS: Provide a self closing device for the restroom door in 1 week. <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: Previous report not on site. Maintain a copy on site at all times. <br /> CAL CODE 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)). Properposting 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 WaterlHot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> FA0022336 PR0538877 SCO01 1V13/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OR <br />