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z°"q`''""•Qo SAN JOAQUIN COUNTY <br />y y� ENVIRONMENTAL HEALTH DEPARTMENT <br />600 EAST MAIN STREET, STOCKTON, CA 95202-3029 <br />{c,Fo TELEPHONE: (209) 468-3420 Fax: (209) 464-0138 WEB: www.SJGOV.ORG/EHD <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: Burlington Store Date: 111912023 <br />Address: 3702 E Hammer Ln City: Stockton Zip Code: 95212 <br />Owner/Operator: Burlington Stores Telephone: <br />Program Element: 1615 Program Record: PRO544S5 Inspection Type: Routine <br />SB18OPostedISYes C No Permit Posted € Yes - No Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Observations: <br />- Facility sells prepackaged only. <br />- Unable to inspect the men's restroom as it was being used during the inspection <br />Violations: <br />- #21: The water at the left and right nonadjustable sinks in the women's restroom was 63 F and 115 F respectively, the <br />one in the middle was 104 F. Provide warm water between 100-108 F at all nonadjustable hand sinks. Correct today. <br />- #35: Observed food debris on shelves in gourmet food aisle. Clean today and maintain clean. <br />- #47: 1) Current EHD permit was not posted. Post current EHD permit in a conspicuous location. <br />2) Most recent inspection report was not available during the inspection. Maintain a copy of the most recent <br />inspection report on site. <br />Item I Location Temperature Item / Location Temperature Item I Location I Temperature <br />Mop sink/janitor room 121F <br />I Facility Hot Water Temperature I Warewashinp <br />Food Safety Certification <br />Name: <br />Hand Sink: 104 -F 1C lorine: ppm Heat: -F <br />Exp. Date: <br />lWarawashing Sink: aF <br />Ouat Amm.: PPM <br />Other: =F <br />Received By I Title: Discussed report with Lacey Houseman, SPS <br />EH Specialist: Daria Afonskala Phone: 209-616-3035 <br />Time In: 11:50 AM Time Out: 12:22 PM 2 Page of 2 <br />EHD 1623 (2n°pill 8114/08 FOOD OIR CONTINUATION <br />