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SAN <br /> 1` ` e J O 1a Q U I N Environmental Health Department <br /> C 0 U A i `l <br /> Food Program Official Inspection Report <br /> Facility Name and Address: DOLLAR GENERAL#13632, 2907 E WATERLOO RD, STOCKTON 95205 <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 /> open reach-in produce cooler--market--40.00°F produce walk-in cooler--produce area--41.00°F <br /> open reach-in meat cooler--market--40.00°F hand sink--female restroom--100.00°F <br /> hand sink--produce area--100.00°F hand sink--male restroom--100.00°F <br /> main walk-in cooler--38.00°F 2 dr True food specials cooler--market--39.00°F <br /> 3 comp sink--produce area--132.00°F <br /> NOTES <br /> Routine inspection. <br /> Discussed report with manager Joe. <br /> No signature captured. <br /> Maintain a copy of this report on site. <br /> Email receipts for toilet repairs to dafonskaia@sjgov.org by 11/11/2021. If receipts are not received within 2 weeks then there <br /> will be a re-inspection. <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: <br /> EH Specialist: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0002093 PRO161907 SCO01 10/28/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />