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S ` ` , J O A Q U I N Environmental Health Department <br /> C0U "ATY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: COLLIERVILLE COUNTRY STORE, 3706 E COLLIER RD,ACAMPO 95220 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Randeep Mand Expiration Date:April 04,2021 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> glass 5 door ref--38.00°F chicken pieces--warmer--102.00°F <br /> rear walk in--40.00°F <br /> NOTES <br /> Cups and lids for the soda fountain are being left on the counter in the customer service area. Remove these cups and lids <br /> from this area and keep behind the front counter to avoid possible covid 19 transmission.When a customer asks for a cup <br /> then the clerk can give out the cups. <br /> Reinspection required in 2 weeks. <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: NICHOLAS WIESEMAN Phone: <br /> FA0000238 PRO161892 SCO01 09/30/2020 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />