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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0161892
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/5/2022 10:34:51 AM
Creation date
10/5/2022 9:38:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0161892
PE
1617
FACILITY_ID
FA0000238
FACILITY_NAME
COLLIERVILLE COUNTRY STORE
STREET_NUMBER
3706
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00514225
CURRENT_STATUS
01
SITE_LOCATION
3706 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> 7fa�p[r+85S grows here. Time In: 1122 am <br /> Time Out: 12:18 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: COLLIERVILLE COUNTRY STORE Date: 09/23/2022 <br /> Address: 3706 E COLLIER RD,ACAMPO 95220 <br /> Owner/Operator: SINGH, HARI Telephone: (209)369-6375 <br /> Program Element: 1617-RETAIL MARKET> 1000 SQ FT W/FOOD PREP <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit Reinspection on or after: 09/26/2022 <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 /> #7 Hot and Cold Holding Temperatures <br /> OBSERVATIONS:The market walk-in was 42 F. Provide 41 F or below today. <br /> CALCODE DESCRIPTION:Potentially hazardous foods shall be held at or below 41/45°F or at or above 135°F. (113996, 113998, <br /> 114037, 114343(a)) <br /> #8 Use of Time as a Public Health Control <br /> OBSERVATIONS:The display warmer was 100 F and the fried chicken and corn dog inside were 115 F and 126 F <br /> respectively. Per owner the food is only placed in the warmer from 10 AM- 1 PM,there was no documentation available <br /> during the inspection. Maintain proper documentation/records when using time as the public health control and do not <br /> exceed 4 hour max hold time. Food items after 4 hour hold time must be discarded. Correct today. <br /> CALCODE DESCRIPTION: When time only,rather than time and temperature is used as a public health control,records and <br /> documentation must be maintained(114000) <br /> #23 Rodents, Insects or Animals Inside Facility <br /> OBSERVATIONS:Observed live cockroach on floor in restroom. Clean area today increase pest control measures as <br /> necessary. <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 /> #27 Food Protected from Contamination <br /> OBSERVATIONS:Observed debris on the ice machine deflector plate. Clean today and maintain clean. <br /> CALCODE DESCRIPTION:All food shall be separated and protected from contamination. (113984(a, b, c,of, t), 113986, 114060, <br /> 114067(a, d, e,j), 114069(a,b), 114077, 114089.1 (c), 114143(c)) <br /> FA0000238 PRO161892 SCO01 09/23/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 4 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />
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