Food and Beverage Establishment Inspection Report

Size: px
Start display at page:

Download "Food and Beverage Establishment Inspection Report"

Transcription

1 Date: Time: Report: 02/26/10 11:12: Winona County Environmental Services 225 West 2nd Street Winona, MN Page 1 Location: 30 Walnut Street Winona, MN Winona County, 85 License Categories: Establishment Info: ID #: 164 Risk: Medium Announced Inspection: Operator: BRHB, Inc. No Expires on: / / Phone #: ID #: The violations listed in this report include any previously issued orders and deficiencies identified during this inspection. Compliance dates are shown for each item. The following orders previously issued on 02/06/09 have NOT been corrected. THE CABINETS UNDER THE SODA DISPENSERS HAVE STICKY RESIDUES AND MOISTURE ISSUES AND NEED TO BE CLEANED AND SANITIZED SOME CLEANING STILL NEEDED Issued on: 02/06/09 Comply By: 02/16/09 The following orders were issued during this inspection Hygenic Practices ** Critical Item ** MN Rule Discontinue consuming food, use of unapproved beverage containers, or use of tobacco in any form in food preparation or utensil washing areas. OBSERVED A PARTIALLY EATEN PIECE OF PIZZA SITTING DIRECTLY ON A COUNTER IN THE UPSTAIRS KITCHEN. DISCONTINUE CONSUMING FOOD IN FOOD PREP AREAS Equipment Maintenance and Operation C3 ** Critical Item ** MN Rule Provide and maintain an approved quaternary ammonium compound sanitizing solution in water with 500 mg/l hardness or less, a minimum temperature of 75 degrees F (24 degrees C) and a concentration between ppm. QUATERNARY AMMONIUM SANITIZING SOLUTIONS IN SEVERAL SPRAY BOTTLES MEASURED GREATER THAN 400 PARTS PER MILLION. REMIX/EVALUATE DISPENSER TO ENSURE CONCENTRATION DISPENSED IS PARTS PER MILLION AND DOES NOT

2 Page 2 EXCEED 400 PARTS PER MILLION. THERE IS SOME ACCUMULATION OF DUST AND GREASE ON THE VENTILATION HOOD FILTERS. CLEAN FILTERS AND INCREASE FREQUENCY OF CLEANING TO PREVENT BUILD UP. Comply By: 03/12/10 OBSERVED SOME DEBRIS BUILD UP ON THE SHELVING INSIDE THE UPSTAIRS VULCAN COOLER, ON THE OUTSIDE OF COOLER DOORS, AND ON THE LEGS OF THE DOWNSTAIRS MIXER. CLEAN SURFACES AND MAINTAIN CLEAN. CLEAN MORE FREQUENTLY TO PREVENT ACCUMULATION. Comply By: 03/02/ Physical Facility Design and Construction A MN Rule Provide effective shielding or shatter resistant bulbs for all light fixtures where there is exposed food, clean equipment, utensils and linens, and unwrapped single-service or single-use articles. SHIELDS ARE MISSING FROM ONE LIGHT FIXTURE IN THE UPSTAIRS KITCHEN AND ONE IN THE DISH ROOM AREA (ABOVE THE MIXER USED FOR DOUGH). REPLACE SHIELDING OR PROVIDE SHATTER-RESISTANT LIGHT BULBS FOR THE FIXTURE. Comply By: 03/04/ Physical Facility Numbers and Capacities AB MN Rule Provide and maintain at each handwash sink in the food preparation and warewash areas a supply of individual disposable towels or a continuous towel system that supplies the user with a clean towel. THE PAPER TOWEL DISPENSER IN THE LOWER LEVEL KITCHEN IS EMPTY. REPLACE PAPER TOWELS.

3 Page Physical Facility Maintenance/Operation and Pest Control A MN Rule Clean and maintain clean all physical facilities. OBSERVED ACCUMULATION/BUILD UP OF DEBRIS ALONG THE FLOOR PERIMETER OF THE DOWNSTAIRS KITCHEN. CLEAN FLOOR AND MAINTAIN CLEAN. Comply By: 03/05/10 Surface and Equipment Sanitizers Chlorine: > 50 ppm at Degrees Fahrenheit Location: DISH MACHINE Location: SPRAY BOTTLE 1 Location: SPRAY BOTTLE 2 Location: SPRAY BOTTLE 3 Location: SPRAY BOTTLE 4 Quaternary Ammonia: > 300 ppm at Degrees Fahrenheit Location: SPRAY BOTTLE 5 Food and Equipment Temperatures Process/Item: Hot Holding Temperature: 197 Degrees Fahrenheit - Location: HOT FOOD BAR-HEAT LAMPS-CHEESY TATOR TOTS Process/Item: Hot Holding Temperature: 159 Degrees Fahrenheit - Location: HOT FOOD BAR-CLASSIC WARMER-MACARONI & CHEESE Process/Item: Reheating for Hot Holding Temperature: 175 Degrees Fahrenheit - Location: SPAGHETTI TRANSFERRED FROM REHEATING TO HOT HOLDING UNIT ON HOT FOOD BAR Temperature: 37 Degrees Fahrenheit - Location: FRONT CONTINENTAL-PASTA SALAD

4 Page 4 Process/Item: Salad Bar-Cold Temperature: 36 Degrees Fahrenheit - Location: SALAD DRESSING Process/Item: Prep Unit Temperature: 38 Degrees Fahrenheit - Location: UPSTAIRS-BOTTOM-SAUCE Process/Item: Prep Unit Temperature: 34 Degrees Fahrenheit - Location: UPSTAIRS-TOP-PEPPERONI Temperature: 37 Degrees Fahrenheit - Location: UPSTAIRS VULCAN-HERB BUTTER Process/Item: Walk-In Cooler Temperature: 35 Degrees Fahrenheit - Location: DOWNSTAIRS-HERB BUTTER Temperature: 34 Degrees Fahrenheit - Location: DOWNSTAIRS VULCAN-TACO SAUCE DISCUSSION: Total Critical Orders This Report: Total Non-Critical Orders This Report: Andy Fuhrman, the District Manager, was also on staff during this inspection. To help reduce the risk of transmitting pathogens that may cause illness, closely monitor employee illness, handwashing, proper cleaning and sanitizing of equipment and food contact surfaces, and avoid bare-hand contact with ready-to-eat foods, including ice. An illness log is on file, but no illnesses were recorded between July of 2009 and recently last week. Review with employees the importance of reporting illness symptoms, especially vomiting and diarrhea. Two bottles of Comet cleaner with bleach were observed in the establishment. This chemical is not approved for use on food contact surfaces. Ensure that it is not being used for that purpose. The only food that is cooled down is leftover spaghetti. Shallow pans are utilized and placed in the cooler. They only reheat spaghetti once, to 165 F. Foods are sourced from Martin Brothers and inspected during receiving. Establishment contracts with Presto X. Two fruit flies were observed in the downstairs kitchen. Presto X treated the establishment last week for this issue. 2 6

5 Page 5 NOTE: All new food equipment must meet the applicable standards of NSF International. Plans and specifications must be submitted for review and approval prior to new construction, remodeling or alterations. I acknowledge receipt of the Winona County Environmental Services inspection report number of 02/26/10. Certified Food Manager: Certification Number: Christy Poleschuk FM48277 Expires: 04/07/12 Signed: Christy Poleschuk Manager Signed: Jodie Burke, R.S. Environmental Health Specialist Winona County Env. Services jburke@co.winona.mn.us

Food and Beverage Establishment Inspection Report

Food and Beverage Establishment Inspection Report Date: Time: Report: 01/11/17 13:45:00 1006171004 Minnesota Department of Health Environmental Health, FPLS P.O. Box 64975 St. Paul, MN 55164-0975 651-201-4500 Page 1 Location: 4011 Woodland Avenue Duluth,

More information

Food and Beverage Establishment Inspection Report

Food and Beverage Establishment Inspection Report Date: Time: Report: 03/29/17 12:43:47 1001171027 Minnesota Department of Health Environmental Health, FPLS P.O. Box 64975 St. Paul, MN 55164-0975 651-201-4500 Page 1 Location: 1600 Miller Trunk Highway

More information

Food and Beverage Establishment Inspection Report

Food and Beverage Establishment Inspection Report Date: Time: Report: 05/16/17 14:13:46 7980171076 Minnesota Department of Health Food, Pools and Lodging Services Section P.O. Box 64975 St. Paul, MN 55164-0975 651-201-4500 Page 1 Location: 11 Buchanan

More information

Food and Beverage Establishment Inspection Report

Food and Beverage Establishment Inspection Report Date: Time: Report: 10/19/17 14:50:00 1006171139 Minnesota Department of Health Environmental Health, FPLS P.O. Box 64975 St. Paul, MN 55164-0975 651-201-4500 Page 1 Location: 501 3rd Avenue Proctor, MN55810

More information

Food and Beverage Establishment Inspection Report

Food and Beverage Establishment Inspection Report Date: Time: Report: 11/21/17 13:30:00 1006171170 Minnesota Department of Health Environmental Health, FPLS P.O. Box 64975 St. Paul, MN 55164-0975 651-201-4500 Page 1 Location: 4894 Miller Trunk Highway

More information

Food and Beverage Establishment Inspection Report

Food and Beverage Establishment Inspection Report Date: Time: Report: 04/13/17 11:15:00 1006171050 Minnesota Department of Health Environmental Health, FPLS P.O. Box 64975 St. Paul, MN 55164-0975 651-201-4500 Page 1 Location: 4702 Miller Trunk Highway

More information

Food and Beverage Establishment Inspection Report

Food and Beverage Establishment Inspection Report Date: Time: Report: 04/19/17 14:15:00 1006171053 Minnesota Department of Health Environmental Health, FPLS P.O. Box 64975 St. Paul, MN 55164-0975 651-201-4500 Page 1 Location: 4767 West Arrowhead Road

More information

Food and Beverage Establishment Inspection Report

Food and Beverage Establishment Inspection Report Date: Time: Report: 03/30/17 14:15:00 1006171035 Minnesota Department of Health Environmental Health, FPLS P.O. Box 64975 St. Paul, MN 55164-0975 651-201-4500 Page 1 Location: 4899 Miller Trunk Highway

More information

Food and Beverage Establishment Inspection Report

Food and Beverage Establishment Inspection Report Date: Time: Report: 08/23/17 13:45:00 1006171120 Minnesota Department of Health Environmental Health, FPLS P.O. Box 64975 St. Paul, MN 55164-0975 651-201-4500 Page 1 Location: 4101 Normanna Road Duluth,

More information

Food and Beverage Establishment Inspection Report

Food and Beverage Establishment Inspection Report Minnesota Department of Health Environmental Health, FPLS P.O. Box 64975 St. Paul, MN 55164-0975 651-201-4500 Page 1 Location: 3502 West Tischer Road Duluth, MN55803 St. Louis County, 69 Establishment

More information

Food and Beverage Establishment Inspection Report

Food and Beverage Establishment Inspection Report Date: Time: Report: 12/05/17 11:00:00 8010171221 Minnesota Department of Health Food, Pools & Lodging Services Section PO Box 64975 St. Paul, MN 55164-0975 651-201-4500 Page 1 Location: 2920 West Michigan

More information

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax:

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax: Phone: 412-578-844 Fa: 412-578-819 Client ID: Address: City: Municipality: Category Code: Re- Inspection: Categories 1 2 3 4 5 6 7 8 9 1 11 12 13 14 15 16 17 18 19 2 21 22 23 24 25 General Sanitation 26

More information

Food and Beverage Establishment Inspection Report

Food and Beverage Establishment Inspection Report Date: Time: Report: 04/27/17 11:00:00 1006171058 Minnesota Department of Health Environmental Health, FPLS P.O. Box 64975 St. Paul, MN 55164-0975 651-201-4500 Page 1 Location: 195 US Highway 2 Proctor,

More information

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax:

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax: Phone: 412-578-844 Fa: 412-578-819 Client ID: Address: 176 Curry Hollow Rd City: Pittsburgh Municipality: Pleasant Hills Category Code: 21-Restaurant with Liquor Re- Inspection: Pending - Inspector Categories

More information

The University of Michigan Small Group Housing Kitchen Guidelines

The University of Michigan Small Group Housing Kitchen Guidelines The University of Michigan Small Group Housing Kitchen Guidelines Introduction The University of Michigan Department of Environment, Health & Safety (EHS) conduct kitchen inspections in off-campus housing

More information

FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)

FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503) Historical 1/12/2016 Page 1 of 11 Inspection Type: REINSP Inspection Result: COMPLD Establishment #: 2900099B Area: 01 Phone: (503) 322-2020 x Inspector: Mason Lyman Start Date/Time: 1/12/2016 at 2:13:53

More information

Historical 11/17/2016

Historical 11/17/2016 Historical 11/17/2016 Page 1 of 17 Inspection Type: REINSP Inspection Result: COMPLD Establishment #: 2900099B Area: 01 Phone: (503) 322-2020 x Inspector: Jaime Craig Start Date/Time: 11/17/2016 at 12:08:57

More information

Food Safety at Temporary Events

Food Safety at Temporary Events Food Safety at Temporary Events Introduction This information has been compiled to provide managers and workers in temporary food stands with rules and guidelines to follow to minimize the possibility

More information

FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)

FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503) Historical 11/4/2016 Page 1 of 13 Inspection Type: REINSP Inspection Result: COMPLD Establishment #: 2900282A Area: 01 Phone: (503) 842-1130 x Inspector: Jaime Craig Start Date/Time: 11/4/2016 at 1:31:53

More information

West Virginia Department of Health & Human Resources Berkeley County Health Department

West Virginia Department of Health & Human Resources Berkeley County Health Department Page 1 of 5 West Virginia Department of Health & Human Resources Berkeley County Health Department No image found with name: Berkeley.png. Image files needed to be generated. FOOD ESTABLISHMENT INSPECTION

More information

703 Washington Road Pittsburgh Permit Exp. Date: 09/30/2018 Category Code: 202-Chain Restaurant with Liquor. Re- Inspection Date: 09/28/2017

703 Washington Road Pittsburgh Permit Exp. Date: 09/30/2018 Category Code: 202-Chain Restaurant with Liquor. Re- Inspection Date: 09/28/2017 Phone: 412-578-844 Fa: 412-578-819 Client ID: Client Name: IL Pizzaiolo Address: City: 73 Washington Road Pittsburgh State: PA Zip: 15228 Inspection Date: Purpose: 9/14/217 Initial Municipality: Mt Lebanon

More information

FOOD SAFETY EVALUATION REPORT

FOOD SAFETY EVALUATION REPORT (559) 584-4586 PR0009484 June 01, 2018 None Noted The operator has requested a follow-up inspection to verify compliance with the violations noted on May 31, 2018. The following observations were made:

More information

Mobile Food Services & Establishments

Mobile Food Services & Establishments Mobile Food Services & Establishments Rules and Regulations Uniform Food Code Plan Review, Approval and Licensing Regulations This booklet is intended to be a brief outline of some requirements needed

More information

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax:

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax: Client ID: Address: City: Municipality: 31 South Hills Village Pittsburgh Bethel Park State: PA Inspector: Zip: 15241 Turner, Kathy Category Code: 212-Chain Restaurant without Liquor Re- Inspection: Pending

More information

USNH Temporary Food Establishment Operations Checklist (As required by the NAVMED P-5010)

USNH Temporary Food Establishment Operations Checklist (As required by the NAVMED P-5010) This document is for educational purposes only and should not be considered a replacement to proper food service training. A Temporary Food Establishment means a food establishment, which operates for

More information

Institutions NUMBER: Food Service Safety And Sanitation

Institutions NUMBER: Food Service Safety And Sanitation Page 2 of 6 PROCEDURES: I. Safety: General safety guidelines for FSMs include: A. Handling of Supplies: When handling or storing supplies, food service staff and prisoners must: 1. Use proper lifting techniques.

More information

Adult Day Service Facilities 15A NCAC 18A.3300

Adult Day Service Facilities 15A NCAC 18A.3300 Adult Day Service Facilities 15A NCAC 18A.3300 Adult Day Service Facility an establishment which provides an organized program of services including a meal, for adults during the day in a community group

More information

Temporary Food Establishment Operations Checklist Michigan Food Law of 2000, as amended

Temporary Food Establishment Operations Checklist Michigan Food Law of 2000, as amended Michigan Department of Agriculture Food and Dairy Division Temporary Food Establishment Operations Checklist Michigan Food Law of 2000, as amended This document is for educational purposes only and should

More information

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax:

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax: Phone: 412-578-844 Fa: 412-578-819 Client ID: Client Name: Lulu's Noodles / Yumwok Address: City: 4 S Craig Street Pittsburgh State: PA Zip: 15213 Inspection Date: Purpose: 9/13/216 Initial Municipality:

More information

Food Establishment Plan Review Application

Food Establishment Plan Review Application For office use only Date Submitted: Date Add l info requested: Date Reviewed: Food Establishment Plan Review Application All new or extensively remodeled food establishments in Eau Claire County must submit

More information

FOOD ESTABLISHMENT INSPECTION REPORT

FOOD ESTABLISHMENT INSPECTION REPORT 8:56am 1:10pm 10-10-17 5 Goose Creek Market& Pub Mike Reinsmith Donna Dunn 6161 Office Drive 1324 187 French Village, 63036 573-358-5672 573-358-5672 pending Risk factors Public health interventions 1507

More information

FOOD ESTABLISHMENT INSPECTION REPORT

FOOD ESTABLISHMENT INSPECTION REPORT 8:00 am 12:05 pm March 20, 2017 The Factory Diner Mehmet and Valerie Memis Mehmet Memis 200 West First Street 4644 St. Francois Farmington 63640 (573)760-0208 none Risk factors Public health interventions

More information

All food service facilities must be equipped with the following items for the pre-opening inspection:

All food service facilities must be equipped with the following items for the pre-opening inspection: DEPARTMENT OF HEALTH FOOD SERVICE FACILITY Pre-Opening Checklist This checklist is provided as a guide to prepare for the pre-opening inspection of a newly constructed, remodeled or a change-of-ownership

More information

MACOMB COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SERVICES DIVISON. Temporary Food Establishment Operator s Checklist

MACOMB COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SERVICES DIVISON. Temporary Food Establishment Operator s Checklist MACOMB COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SERVICES DIVISON Mt. Clemens Health Center 43525 Elizabeth Mt. Clemens, MI 48043 586-469-5236 Southwest Health Center 27690 Van Dyke, Ste B Warren,

More information

Food Safety Audit Checklist What to Expect When Being Inspected

Food Safety Audit Checklist What to Expect When Being Inspected Food Safety Audit Checklist What to Expect When Being Inspected Don t you wish there was an easy way to prepare for inspections? Well we have created a checklist to help you! Not only do we take pride

More information

Initial Brief Tour of the Kitchen

Initial Brief Tour of the Kitchen Facility Name: Facility ID: Date: Surveyor Name: Complete the initial kitchen tour upon arrival at the facility, with observations focused on practices that might indicate potential for food borne illness.

More information

FOOD ESTABLISHMENT INSPECTION REPORT

FOOD ESTABLISHMENT INSPECTION REPORT 8:45 am 12:58 pm June 20, 2017 Bonne Terre BP Milap Patel DBA Sri Narayan LLC Amy Tinker, store manager 416 Benham Street 0238 St. Francois Bonne Terre 63628 (573)358-0044 (573)358-3922 Risk factors Public

More information

Gila River Indian Community Environmental Health Services (EHS) Guidelines for Temporary Food Establishments BOOTHS & TENTS

Gila River Indian Community Environmental Health Services (EHS) Guidelines for Temporary Food Establishments BOOTHS & TENTS Gila River Indian Community Environmental Health Services (EHS) Guidelines for Temporary Food Establishments PERMIT APPLICATION An application MUST be submitted to Environmental Health Services at least

More information

Food Service Plan Review Application

Food Service Plan Review Application Food Service Plan Review Application New Remodel Name of Establishment: Facility Address: Facility Phone: Owner: Mailing Address: Daytime Phone: Contact Person & Title (architect, manager): Mailing Address:

More information

8. Describe where utensil washing will take place. Describe the equipment and procedures you will use to wash, rinse,

8. Describe where utensil washing will take place. Describe the equipment and procedures you will use to wash, rinse, Temporary Food Service Establishment License Application FI-231 (Rev. 12/03) A. Operator Information (Electronic Form-Click,Type,Tab & Print) Name of Temporary Food Establishment (TFE) Name of Owner /

More information

COLD HOLDING- WALKIN- HAM 37F, DESSERT FRIDGE- AMBIENT 40F, SMALL PREP FRIDGE- SALAD 38F.HOT HOLDING- BURGERS 150F.

COLD HOLDING- WALKIN- HAM 37F, DESSERT FRIDGE- AMBIENT 40F, SMALL PREP FRIDGE- SALAD 38F.HOT HOLDING- BURGERS 150F. Historical 1/7/2016 Priority/Priority Foundation Score: 100 Core Item Total: 0 Inspection Result: COMPLD Establishment #: Phone: 2900328A (503) 842-5603 x Inspector: Mason Lyman Start Date/Time: 1/7/2016

More information

Workbook and Guide for the Food Safety Orientation for New Employees Video

Workbook and Guide for the Food Safety Orientation for New Employees Video Workbook and Guide for the Food Safety Orientation for New Employees Video Segment One: Personal Hygiene Dressing for success begins at home BEFORE you arrive to work. Foodservice employees must bathe

More information

Farmington Valley Health District 95 River Road, Suite C Canton, CT Phone (860) Fax (860)

Farmington Valley Health District 95 River Road, Suite C Canton, CT Phone (860) Fax (860) Avon Barkhamsted Canton Colebrook East Granby Farmington Granby Hartland New Hartford Simsbury APPLICATION FOR TEMPORARY FOOD SERVICE PERMIT All vendors serving food and beverages to the public on a temporary

More information

Food Safety Basics. for Occasional. Food Service. Colorado State University Extension Morgan County. Morgan County Extension Center Revised 6/2014

Food Safety Basics. for Occasional. Food Service. Colorado State University Extension Morgan County. Morgan County Extension Center Revised 6/2014 Food Safety Basics for Occasional Food Service Morgan County Extension Center Revised 6/2014 Colorado State University Extension Morgan County NOTES Developed July 2002 with assistance from Sherry Jones,

More information

Historical 10/21/2016

Historical 10/21/2016 Historical 10/21/2016 PERSON IN CHARGE EASILY FOUND COLD HOLDING: CONDIMENT DIP CASE UP FRONT: HONEY MUSTARD 41F STANDUP FRIDGE: CREAM CHEESE 42F BBQ SAUCE 41F PREP TOP: SLICED TOMATOES 41F BOTTOM: RAW

More information

Health Department Guidelines May 3-6, 2018 Novi, Suburban Collection Showplace

Health Department Guidelines May 3-6, 2018 Novi, Suburban Collection Showplace Health Department Guidelines May 3-6, 2018 Novi, Suburban Collection Showplace Dear Food Exhibitors: Following you will find important information from the Oakland County Department of Health. These guidelines

More information

FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)

FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503) Historical 9/24/2015 INSPECITON OF FACILITY- Inspection Result: COMPLD Establishment #: Phone: 2900178C (503) 368-7675 x Inspector: Mason Lyman Start Date/Time: 9/24/2015 at 4:12:35 PM Page 1 of 13 Area:

More information

Manchester Health Department 1528 Elm Street Manchester NH Tel: (603) , Fax: (603)

Manchester Health Department 1528 Elm Street Manchester NH Tel: (603) , Fax: (603) 1528 Elm Street Manchester NH 03101 Tel: (603) 624-6466, Fax: (603) 628-6004 TEMPORARY FOOD PERMIT APPLICANTS Enclosed are the requirements and an application for a permit to operate a temporary food establishment

More information

Kitchen/Food Service Observation Initial Brief Tour of the Kitchen Observations Notes initial brief tour

Kitchen/Food Service Observation Initial Brief Tour of the Kitchen Observations Notes initial brief tour Facility Name: Facility ID: Date: Surveyor Name: Complete the initial brief kitchen tour upon arrival at the facility, with observations focused on practices that might indicate potential for food borne

More information

ADAMS COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR FOOD ESTABLISHMENTS This is not a Food Establishment application. Fees are non refundable

ADAMS COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR FOOD ESTABLISHMENTS This is not a Food Establishment application. Fees are non refundable A7 ADAMS COUNTY HEALTH DEPARTMENT 108 W. MAIN, RITZVILLE, WASHINGTON 99169 - TELEPHONE (509) 659-3315 425 E. MAIN, STE. 700, OTHELLO, WASHINGTON 99344 - TELEPHONE (509) 488-2031 ADAMS COUNTY HEALTH DEPARTMENT

More information

Cooling Food For Food Safety

Cooling Food For Food Safety Cooling Food For Food Safety Food should be 41 degrees or cooler within 6 hours! Follow the steps below: Cooling Tips: STEP ONE: Cool food from 135 degrees to 70 degrees within 2 hours. STEP TWO: Cool

More information

West Virginia Department of Health & Human Resources Berkeley County Health Department

West Virginia Department of Health & Human Resources Berkeley County Health Department Page 1 of 6 West Virginia Department of Health & Human Resources Berkeley County Health Department FOOD ESTABLISHMENT INSPECTION REPORT Establishment Information Facility Name China City Buffet Sushi &

More information

TEMPORARY FOOD SERVICE GUIDELINES

TEMPORARY FOOD SERVICE GUIDELINES CITY OF ENNIS TEMPORARY FOOD SERVICE GUIDELINES Use this guide as a checklist for stand construction and operation. The following is a summary of requirements as required by the City of Ennis Food Code,

More information

Guidelines for Providing Safe Food Samples at Farmers Markets

Guidelines for Providing Safe Food Samples at Farmers Markets Guidelines for Providing Safe Food Samples at Farmers Markets Vendors at farmers markets may provide food samples using the following guidelines. Critical practices to avoid foodborne illness are good

More information

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax:

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax: 391 Penn Ave, Phone: 412-578-844 Fa: 412-578-819 Client ID: Address: City: Municipality: Category Code: Re- Inspection: Categories 1 2 3 4 5 6 7 8 9 1 11 12 13 14 15 16 17 18 19 2 21 22 23 24 25 General

More information

RETAIL MOBILE AND TEMPORARY FOOD SERVICE GUIDELINES Wisconsin Food Code Fact Sheet #23

RETAIL MOBILE AND TEMPORARY FOOD SERVICE GUIDELINES Wisconsin Food Code Fact Sheet #23 RETAIL MOBILE AND TEMPORARY FOOD SERVICE GUIDELINES Wisconsin Food Code Fact Sheet #23 Use this guide as a checklist for stand construction and operation. The following is a summary of requirements as

More information

LAWRENCE COUNTY HEALTH DEPARTMENT Food Service Inspections 5/1/12-5/31/12

LAWRENCE COUNTY HEALTH DEPARTMENT Food Service Inspections 5/1/12-5/31/12 The health department divides food service code violations into two categories; critical and non-critical. Critical violations are more likely than other violations to contribute to food contamination,

More information

Food Service Plan Review Application Coos Health & Wellness 281 LaClair St Coos Bay OR

Food Service Plan Review Application Coos Health & Wellness 281 LaClair St Coos Bay OR Amount Paid $ Receipt # Date: Food Service Plan Review Application Coos Health & Wellness 281 LaClair St Coos Bay OR 97420 541-266-6720 New Remodel Email: Name of Establishment: Facility Address: Facility

More information

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax:

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax: 391 Penn Ave, Phone: 412-578-844 Fa: 412-578-819 Client ID: 281222 Address: 47 Cinema Drive City: Pittsburgh Municipality: Pittsburgh-116 Category Code: 21-Restaurant with Liquor Re- Inspection: Pending

More information

West Virginia Department of Health & Human Resources Berkeley County Health Department

West Virginia Department of Health & Human Resources Berkeley County Health Department Page 1 of 6 West Virginia Department of Health & Human Resources Berkeley County Health Department FOOD ESTABLISHMENT INSPECTION REPORT Establishment Information Facility Name Chili's Licensee Name Chesapeake

More information

FOOD ESTABLISHMENT CONSTRUCTION GUIDE Revised December 19, 2011 Reviewed January 10, 2014

FOOD ESTABLISHMENT CONSTRUCTION GUIDE Revised December 19, 2011 Reviewed January 10, 2014 FOOD ESTABLISHMENT CONSTRUCTION GUIDE Revised December 19, 2011 Reviewed January 10, 2014 This construction guide is to be used in conjunction with the Oklahoma Food Service Establishment Regulations (OAC

More information

FOOD ESTABLISHMENT INSPECTION REPORT

FOOD ESTABLISHMENT INSPECTION REPORT 10:56 am 1:41 pm Nov. 8, 2017 Shogun Japanese Steak and Sushi Joon Kim DBA Kaysan, LLC Joon Kim 729 Sunset Drive 4761 St. Francois Farmington 63640 (573)760-1080 none Joon Kim November 8, 2017 Risk factors

More information

2. Location of Event: 3. Dates/times of Operation: Begin Date: Begin time: End date: End Time: 4. Organization/business name: 5.

2. Location of Event: 3. Dates/times of Operation: Begin Date: Begin time: End date: End Time: 4. Organization/business name: 5. TEMPORARY FOOD SERVICES PERMIT APPLICATION YADKIN COUNTY HUMAN SERVICES PO BOX 457 YADKINVILLE, NC 27055 TELEPHONE 336-679-4244 A Temporary Food Service Permit Application- Must use this application if

More information

FARMERS MARKET INFORMATION

FARMERS MARKET INFORMATION FARMERS MARKET INFORMATION The following procedures and guidelines will apply to all Farmers Markets held in the City and County of Broomfield. All vendors must complete the appropriate pages of the attached

More information

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax:

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax: Phone: 412-578-844 Fa: 412-578-819 Client ID: 217892 Client Name: Pie Epress Address: City: 148 Oakland Avenue Pittsburgh State: PA Zip: 15213 Inspection Date: Purpose: 9/11/218 Initial Municipality: Pittsburgh-14

More information

West Virginia Department of Health & Human Resources Berkeley County Health Department

West Virginia Department of Health & Human Resources Berkeley County Health Department Page 1 of 7 West Virginia Department of Health & Human Resources Berkeley County Health Department No image found with name: Berkeley.png. Image files needed to be generated. FOOD ESTABLISHMENT INSPECTION

More information

TEMPORARY FOOD SERVICE ESTABLISHMENT REQUIREMENTS

TEMPORARY FOOD SERVICE ESTABLISHMENT REQUIREMENTS TEMPORARY FOOD SERVICE ESTABLISHMENT REQUIREMENTS The following items are required for compliance with the Illinois Department of Public Health s (IDPH) Food Service Sanitation Rules and Regulations pertaining

More information

Historical 12/21/2016

Historical 12/21/2016 Historical 12/21/2016 Page 1 of 24 Inspection Type: REINSP Inspection Result: COMPLD Establishment #: 2900027D Area: 01 Phone: (503) 355-0585 x Inspector: Jaime Craig Start Date/Time: 12/21/2016 at 2:25:30

More information

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax:

Allegheny County Health Department Food Safety Program 3901 Penn Ave, Pittsburgh, PA Phone: Fax: Phone: 412-578-844 Fa: 412-578-819 Client ID: Client Name: Nicky's Thai Kitchen Address: City: 856 Western Avenue Pittsburgh State: PA Zip: 15233 Inspection Date: Purpose: 5/1/218 Initial, Compla Municipality:

More information

FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)

FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503) Historical 9/22/2016 Priority/Priority Foundation Score: 97 Core Item Total: 0 Inspection Result: COMPLD Establishment #: Phone: 2900032B (503) 842-6301 x Inspector: Jaime Craig Start Date/Time: 9/22/2016

More information

Separate Cooked and Raw Foods

Separate Cooked and Raw Foods Separate Cooked and Raw Foods Keep It Covered & Keep It Clean Store foods in the refrigerator in the following order: Prepared Foods Top Shelf Fruits/Vegetables Fish/Seafood Beef/Pork Ground Meat Poultry

More information

FOOD ESTABLISHMENT INSPECTION REPORT

FOOD ESTABLISHMENT INSPECTION REPORT 9:09 am 1:50 pm Feb. 9, 2018 Eagle Mart The Royal Group / Jas Sekhon Maria Aubochon 1041 East Karsch Boulevard 0845 St. Francois Farmington 63640 (573)454-2130 (573)454-2107 Maria Aubochon February 9,

More information

West Virginia Department of Health & Human Resources Berkeley County Health Department

West Virginia Department of Health & Human Resources Berkeley County Health Department Page 1 of 5 West Virginia Department of Health & Human Resources Berkeley County Health Department Establishment Information Facility Name Golden Corral Licensee Name Valley Corral LLC DBA - Golden Corral

More information

FOOD STANDS. Licensing requirements. Food sources

FOOD STANDS. Licensing requirements. Food sources FOOD STANDS Food stands operate under higher risk conditions than permanent food service facilities. These standards are meant to help food stand operators serve food to the public safely. To minimize

More information

TOWNSHIP OF MONTCLAIR HEALTH DEPARTMENT MONTCLAIR, NJ TEL: # (973)

TOWNSHIP OF MONTCLAIR HEALTH DEPARTMENT MONTCLAIR, NJ TEL: # (973) HEALTH DEPARTMENT MONTCLAIR, NJ 07042 TEL: # (973) 509-4970 Inspection Date: 12-06-01 RETAIL FOOD INSPECTION REPORT Activity Type: Evaluation: CHAPTER 24 CONDITIONAL JUST JAKES OWNER NAME: LSZ,INC TRADE

More information

2018 Mobile Packet Darke County Health Department 300 Garst Avenue, Greenville, Ohio 45331

2018 Mobile Packet Darke County Health Department 300 Garst Avenue, Greenville, Ohio 45331 Frequently Asked Questions What is a mobile food service operation? It is a food service operation that is operated from a movable vehicle, portable structure, or watercraft and that routinely changes

More information

FOOD PREMISES INSPECTION REPORT for Non-Compliant Critical / Non-Critical Items. Sushi Island 210 Water Street, St. John's, NL.

FOOD PREMISES INSPECTION REPORT for Non-Compliant Critical / Non-Critical Items. Sushi Island 210 Water Street, St. John's, NL. / Items For additional information on the process, please see: Food - Annual Mar 21, 2018 601 - Food contact surfaces properly constructed or located, acceptable material Do not use cardboard as a surface

More information

West Virginia Department of Health & Human Resources Berkeley County Health Department

West Virginia Department of Health & Human Resources Berkeley County Health Department Page 1 of 5 West Virginia Department of Health & Human Resources Berkeley County Health Department No image found with name: Berkeley.png. Image files needed to be generated. FOOD ESTABLISHMENT INSPECTION

More information

Restaurant Inspections

Restaurant Inspections ALMOST HOME RESTAURANT 08/23/18 5 6 5 Manager Could Not Correctly Identify Reportable Food-Borne Illnesses Ice Baffle Not Cleaned To Sight And Touch Various Items In Food Prep Cooler Probed Higher Than

More information

Special Event Information Package

Special Event Information Package City of Ottawa Special Event Information Package Adapted from Sudbury & District Health Unit Ottawa Public Health.ca Sante Publique Ottawa.ca 613-580-6744 TTY/ATS : 613-580-9656 April 2017 /Ottawa Health

More information

FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503)

FOOD SERVICE INSPECTION REPORT Tillamook Co. Environmental Health PO Box 489 Tillamook, OR (503) Historical 3/3/2016 Page 1 of 10 Inspector: Annette Pampush Start Date/Time: 3/3/2016 at 10:55:22 AM THIS IS S SEMI ANNUAL INSPECTION LUNCH BEING PREPPED/SERVED SANITIZER AT 50 PPM DISHWASHER AT 180 F

More information

Jon Peacock, 880 FOOD ESTABLISHMENT INSPECTION REPORT. 10:07am 4:05pm Colton's Steakhouse Missouri Acquisitions Group Lewis Fugate

Jon Peacock, 880 FOOD ESTABLISHMENT INSPECTION REPORT. 10:07am 4:05pm Colton's Steakhouse Missouri Acquisitions Group Lewis Fugate 10:07am 4:05pm 5-11-17 8 Colton's Steakhouse Missouri Acquisitions Group Lewis Fugate 1300 Maple Street 4682 187 Farmington, 63640 573-756-9500 573-756-9505 Risk factors Public health interventions 1507

More information

2. Location of event: Downtown Winston-Salem, 4th St. between Spring and Spruce, and Poplar and Holly Street and Winston Square Park

2. Location of event: Downtown Winston-Salem, 4th St. between Spring and Spruce, and Poplar and Holly Street and Winston Square Park TEMPORARY FOOD SERVICE PERMIT APPLICATION FOR VENDORS (Each Food Booth Operator must provide the following information) 15A NCAC 18A.2600 defines a temporary food establishment as those who sell food or

More information

Temporary & Special. Guide To. Food Service Events. For Garfield County Have a GREAT event!!!

Temporary & Special. Guide To. Food Service Events. For Garfield County   Have a GREAT event!!! Water and Ice - Ice for human consumption must be made from drinking quality water and drained. - Ice that comes in contact with drink bottles or food containers must not be used for consumption. - Drinking

More information

Yakima Health District 1210 Ahtanum Ridge Drive Union Gap, Washington Phone (509) Fax (509)

Yakima Health District 1210 Ahtanum Ridge Drive Union Gap, Washington Phone (509) Fax (509) Yakima Health District 1210 Ahtanum Ridge Drive Union Gap, Washington 98903 Phone (509) 575 4040 Fax (509) 575 7894 http://www.yakimapublichealth.org Food Service License Checklist Prior to the Yakima

More information

TEMPORARY FSO/RFE PLAN REVIEW APPLICATION AND GUIDELINES. Working to build healthy communities every day

TEMPORARY FSO/RFE PLAN REVIEW APPLICATION AND GUIDELINES. Working to build healthy communities every day TEMPORARY FSO/RFE PLAN REVIEW APPLICATION AND GUIDELINES Working to build healthy communities every day Warren County Health District 416 S. East Street Lebanon, Ohio, 45036 (513) 695-1220 www.warrenchd.com

More information

Food Source All food and ice supplies must come from an approved commercial source.

Food Source All food and ice supplies must come from an approved commercial source. Horizon Environmental Health Serving Douglas & Pope Counties 809 Elm Street, Suite 1200 Alexandria, MN 56308 FAX: 320-762-3025 Doug Breitkreutz, Registered Sanitarian Office: 320-763-4437 Cell: 320-808-4289

More information

SPECIAL EVENT LICENSE APPLICATION PACKAGE FOR APACHE COUNTY MINIMAL FOOD BOOTH AND MOBILE FOOD UNIT (MFU) REQUIREMENTS

SPECIAL EVENT LICENSE APPLICATION PACKAGE FOR APACHE COUNTY MINIMAL FOOD BOOTH AND MOBILE FOOD UNIT (MFU) REQUIREMENTS SPECIAL EVENT LICENSE APPLICATION PACKAGE FOR APACHE COUNTY INSTRUCTIONS Please call (928)337-7607 or (928) 337-7532 if you have any questions or need assistance with any part of this application. Submit

More information

Special Event Food Provider Information Package

Special Event Food Provider Information Package Special Event Food Provider Information Package January 2017 www.hnhu.org specialevents@hnhu.org This food provider information package includes: Food Safety Requirements at Special Events Food provider

More information

Queen Anne s County Department of Health Environmental Health Division

Queen Anne s County Department of Health Environmental Health Division Queen Anne s County Department of Health Environmental Health Division 206 N. Commerce St, Centreville, MD 21617 Phone: (410) 758-2281 Fax: (410) 758-6602 APPLICATION FOR CLASS 2 TEMPORARY FOOD SERVICE

More information

DCGHD 2019 Mobile Packet 300 Garst Avenue, Greenville, Ohio (937) Fax: (937)

DCGHD 2019 Mobile Packet 300 Garst Avenue, Greenville, Ohio (937) Fax: (937) Frequently Asked Questions What is a mobile food service operation? It is a food service operation that is operated from a movable vehicle, portable structure, or watercraft and that routinely changes

More information

Hunterdon County Department of Public Safety Division of Public Health Services

Hunterdon County Department of Public Safety Division of Public Health Services Hunterdon County Department of Public Safety Division of Public Health Services Karen DeMarco, Health Officer Physical Address: 312 Route 12 County Complex, Building # 1, 2nd Floor Mailing Address: PO

More information

Chapter 3 Food Safety

Chapter 3 Food Safety Chapter 3 Food Safety Purchasing and receiving food Food storage Food preparation Cooking and food service Catered food Leftovers Facility maintenance and construction Equipment and utensils Dishwashing

More information

THREE RIVERS HEALTH DISTRICT APPLICATION FOR A TEMPORARY FOOD ESTABLISHMENT PERMIT

THREE RIVERS HEALTH DISTRICT APPLICATION FOR A TEMPORARY FOOD ESTABLISHMENT PERMIT THREE RIVERS HEALTH DISTRICT APPLICATION FOR A TEMPORARY FOOD ESTABLISHMENT PERMIT Health Department Use Only: Date Application received Amt Received: $ How was fee paid? Cash Check No Credit Card Auth

More information

Morgan County Health Department 180 S. Main St., Ste. 252, Martinsville, IN Phone: Fax:

Morgan County Health Department 180 S. Main St., Ste. 252, Martinsville, IN Phone: Fax: Morgan County Health Department 180 S. Main St., Ste. 252, Martinsville, IN 46151 Phone: 765-342-6621 Fax: 765-342-1062 Food Establishment Plan Review Packet To prospective food establishment owner: This

More information

Restaurant Plan Review Application Instructions

Restaurant Plan Review Application Instructions Restaurant Plan Review Application Instructions Please complete the attached application as required for plan review. All sections of the plan review application must be completed. Review the checklist

More information

PLAN REVIEW APPLICATION FOR MOBILE FOOD VENDORS TO BE COMPLETED BY THE ESTABLISHMENT OPERATOR / OWNER

PLAN REVIEW APPLICATION FOR MOBILE FOOD VENDORS TO BE COMPLETED BY THE ESTABLISHMENT OPERATOR / OWNER Environmental Health 1625 13 th St. Ste. 105 Lubbock, TX 79401 806 775 2928 Fax 806 775 3281 PLAN REVIEW APPLICATION FOR MOBILE FOOD VENDORS TO BE COMPLETED BY THE ESTABLISHMENT OPERATOR / OWNER Date:

More information

TOWNSHIP OF PEQUANNOCK 530 NEWARK POMPTON TURNPIKE POMPTON PLAINS, NJ TEL: # (973) EXT. 128

TOWNSHIP OF PEQUANNOCK 530 NEWARK POMPTON TURNPIKE POMPTON PLAINS, NJ TEL: # (973) EXT. 128 530 NEWARK POMPTON TURNPIKE POMPTON PLAINS, NJ 07444 TEL: # (973) 835-5700 ET. 128 Inspection Date: 6/30/2016 Activity Type: Evaluation: FULL SATISFACTORY OWNER NAME: CORPORATE CHEFS INC TRADE NAME: CORPORATE

More information

Food Handler Training

Food Handler Training Food Handler Training PLEASE NOTE: This PowerPoint is for informational use only. Viewing of this PowerPoint does not satisfy the Illinois Department of Public Health s (IDPH) Food Handler Training Requirement.

More information

Food Service Plan Review Application

Food Service Plan Review Application Environmental Health 503-588-5346 Food Service Plan Review Application New Construction (Fee of $557) Remodel (Fee of $348) Required fees must accompany this application. Make checks payable to and mail

More information