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�l � � �A� I I�1ISI Environmental Health Department <br /> `— Fel <br /> t.. v•:v COUNTY <br /> .` Cafa�pt�+fSS grows here. Time In: 11.11 am <br /> Time Out: 12:00 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: COUNTRY DELI AND CATERING CO Date: 09/08/2020 <br /> Address: 2361 WATERLOO RD, STOCKTON 95205 <br /> Owner/Operator: LIRA, ELIZABETH Telephone: <br /> Program Element: 1612-FOOD EST<500 SQ FT W/O SEATING <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;113700.All <br /> violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health and have the <br /> potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Heidi Bodine Expiration Date:July 25,2022 <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 /> Mop Sink--Dish Washier Area--120.00°F 2-Compartment Sink--Dish Washier Area--120.00°F <br /> 1-Compartment Sink--Dish Washier Area-- 120.00°F Hand Sink--Restroom--100.00°F <br /> Hand Sink--Kitchen--100.00°F 1-Compartment Sink--Dry Storage Area--100.00°F <br /> Walk-In--Kitchen--41.00°F 3-Compartment Sink--Kitchen--120.00°F <br /> NOTES <br /> Routine inspection conducted this date,the followings observations were noted: <br /> 100 ppm chlorine observed in the dish washier. <br /> Test strips observed on site. <br /> No violation noted. <br /> Inspection report was discussed with Elizabeth Lira, Owner <br /> Maintain a copy of this inspection report on site. <br /> Inspection report will be emailed to facility. <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 Safety <br /> Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: ` Name and Title: Elizabeth Lira, Owner <br /> EH Specialist: STEVEN SHIH Phone: (209)468-3420 <br /> FA0012080 PRO162653 SCO01 09/08/2020 <br /> EHD 16-23 Rev.08/10/2020 Page 1 of 1 Food Program OIR <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 />