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COMPLIANCE INFO_2023
Environmental Health - Public
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1600 - Food Program
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PR0535166
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COMPLIANCE INFO_2023
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Last modified
9/29/2023 12:02:26 PM
Creation date
9/29/2023 12:02:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0535166
PE
1618
FACILITY_ID
FA0020328
FACILITY_NAME
Dollar Tree #04403
STREET_NUMBER
125
STREET_NAME
LAKEWOOD MALL
City
Lodi
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
125 Lakewood Mall
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Time In: <br />10:30 am <br />10:10 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: 125 Lakewood Mall , LODI 95242 <br />Date: 08/29/2023Name of Facility: Dollar Tree #04403 <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 /> #21 Hot and Cold Potable Water Not Available MAJOR <br />OBSERVATIONS: Observed water heater is currently under repair. Per management, water heater should be fixed by end <br />of day. Provide 120 F at mop sink and 100F minimum at hand sinks today. Provide photo of correction to <br />fgarciaruiz@sjgov.org <br />CALCODE DESCRIPTION: An adequate, protected, pressurized, potable supply of hot water and cold water shall be provided at all times. <br />(113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <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 /> 78 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />hand sink -- restroom -- 78.00º F mop sink -- 78.00º F <br />3 door display refrigerator -- 41.00º F hand sink -- women's restroom -- 78.00º F <br />walk in -- 44.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />No comment entered. <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:Phone:(209) 616-3032 <br />, <br />FRANCISCO RUIZ <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0020328 PR0535166 SC001 08/29/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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