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COMPLIANCE INFO_2022
Environmental Health - Public
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PR0508075
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COMPLIANCE INFO_2022
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Last modified
3/1/2022 10:53:01 AM
Creation date
3/1/2022 10:52:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0508075
PE
1618
FACILITY_ID
FA0007925
FACILITY_NAME
DOLLAR TREE #01263
STREET_NUMBER
4555
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
4555 N PERSHING AVE STE 17
P_LOCATION
01
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Time In: <br />11:35 am <br />10:50 am <br />Time Out: <br />Program Element: 1618 - RETAIL MKT >2000 SQ FT (PREPKGD / LTD PREP) <br />Telephone: (757) 321-5000 Owner/Operator: DOLLAR TREE STORES INC <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 4555 N PERSHING AVE, STOCKTON 95207 <br />Date: 02/28/2022Name of Facility: DOLLAR TREE #01263 <br />Food Program Official Inspection Report <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 /> #6 Handwashing Facilities Supplied and Accessible <br />OBSERVATIONS: The paper towel dispenser in the bathroom is empty. Refill immediately. Corrected during inspection <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 /> #41 Plumbing Maintained; Approved Back Flow Device <br />OBSERVATIONS: The drain for the mop sink is not working properly. Repair the drain by 1 week. <br />CALCODE DESCRIPTION: The potable water supply shall be protected with a backflow or back siphonage protection device, as required <br />by applicable plumbing codes. (114192) All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br />ordinances, shall be maintained so as to prevent any contamination, and shall be kept clean, fully operative, and in good repair. Any hose <br />used for conveying potable water shall be of approved materials, labeled, properly stored, and used for no other purpose. (114171, <br />114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 120 <br /> 100 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />walk in -- warehouse -- 40.00º F 3 door display -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />No comment entered. <br />Page 1 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0007925 PR0508075 SC001 02/28/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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