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Time In: 11-04 am <br /> Time Out: 11:30 am <br /> oPQ•��IV <br /> .. San Joaquin County <br /> y� Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �..• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> '9Gl P Oftt� <br /> Food Program Official Inspection Report <br /> Name of Facility: COLLIERVILLE COUNTRY STORE Date: 04/26/2016 <br /> Address: 3706 E COLLIER RD,ACAMPO 95220 <br /> Owner/Operator: SINGH, HARI &PRAVINA DEVI Telephone: (916)682-4178 <br /> Program Element: 1617-RETAIL MARKET> 1000 SQ FT W/FOOD PREP <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 foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #23 Rodents, Insects or Animals Inside Facility <br /> OBSERVATIONS:4 or so mice droppings in cabinet under sink. Clean,and provide more pest control if needed. <br /> CALCODE DESCRIPTION:Each food facility shall be kept free of vermin:rodents(rats,mice), cockroaches,flies.(114259.1, 114259.4, <br /> 114259.5) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 130°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 5-D Display(sandwiches)--37.00°F Hot Hold(fried chicken)--171.00°F <br /> 3-comp/hand wash--130.00°F Walk In(dairy)--45.00°F <br /> RR--111.00°F <br /> NOTES <br /> Sanitizer bucket not set up. Provide 100 ppm chlorine for wipe cloths to be stored in when being used. <br /> Copy of report emailed to Pravina Singh <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: Hari Singh, owner <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0000238 PRO161892 SCO01 04/26/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />