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

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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 at 1:06:02 PM Page 1 of 16 Area: 01 PERSON IN CHARGE EASILY FOUND COLD HOLDING: PREP TOP BY DEEP FRYERS: TOP: CHEESE 42F RELISH 38F MAYO 41F UNDER PREP TOP: THOUSAND ISLAND 41F BREAD FRIDGE IN BACK: SOUR DOUGH LOAF 41F WALK IN: MUSHROOOMS39F BEEF 39F FREEZERS ALL FROZEN DATE MARKING-OK RESTROOMS CLEAN AND WELL STOCKED HAND WASH SINK ACCESSIBLE AND STOCKED HANDWASHING OBSERVED-GREAT EQUIPMENT CLEAN BAR TAPS CLEAN (SERVICE) DISHWASHER 50PPM SANITIZER 300PPM QUAT **CONSUMER ADVISORY: ADDITIONAL ADVISORY NEEDS TO BE PLACED AT POINT OF SALE FOR HIGH VISIBILITY. **ALL CUPS SHOULD BE INVERTED ON SHELVES, WASHABLE AND SINGLE SERVICE ITEMS. Priority Foundation 3-501.15 VIOLATION OF SECTION 3-501.15 *PRIORITY FOUNDATION* Incorrect methods are used to cool potentially hazardous foods, specifically: COOKED GROUND BEEF IN PANS COVERED @92F COOLING ON COUNTER REQUIRED CORRECTION: CORRECT IMMEDIATELY. Potentially hazardous food shall be cooled by: 1) Placing the food in shallow pans; 2) Separating the food into smaller or thinner portions; 3) Using rapid cooling equipment; 4) Stirring the food in an ice water LEAVE UNCOVERED UNTIL 41F REACHED WITHIN 6 HRS.-CORRECTED 3 Points

Page 2 of 16 Start Date/Time: 9/22/2016 at 1:06:02 Comments: Person In Charge Inspection By: Jaime Craig Page 2

Page 3 of 16 Start Date/Time: 10/13/2015 at 3:40:52 Historical 10/13/2015 Inspection Result: COMPLD Establishment #: Phone: 2900032B (503) 842-6301 x Inspector: Mason Lyman Page 3 of 16 Area: 01 Start Date/Time: 10/13/2015 at 3:40:52 PM COLD HOLDING- PREP FRIDGE- TOP-TOMATOES 39F, BOTTOM- SAUCE 40F, WALKIN- HALF AND HALF 40F. FREEZERS FROZEN HOT HOLDING- SOUP - 190F. HAND SINKS OK/ WELL STOCKED NEW PREP FRIDGE IN KITCHEN HOODS/VENTS CLEAN GOOD DATEMARKING SYSTEM IN PLACE TAPS CLEAN SINGLE SERVICE ITEMS PROTECTED SHELVING OK/EASILY CLEANABLE TOXICS LABELED/ STORED WELL TEST STRIPS PRESENT BULKS LABELED/ IN FOOD GRADE CONTAINERS CONSUMER ADVISORY ON MENU MOP HUNG UP RESTROOMS OK/ WELL STOCKED LIGHTS PROTECTED GOOD HANDWASHING OBSERVED 50 PPM BLEACH DISHWASHER 200 PPM QUAT SANITIZER Priority/Priority Foundation Score: 100 Core Item Total: 0

Page 4 of 16 Start Date/Time: 10/13/2015 at 3:40:52 **KEEP DRIPPER WELL FOR SCOOPERS, BETWEEN USES. Person In Charge Inspection By: Mason Lyman Page 4

Inspection Type: REINSP Page 5 of 16 Start Date/Time: 4/17/2015 at 12:53:35 Historical 4/17/2015 Page 5 of 16 Inspection Type: REINSP Inspection Result: COMPLD Establishment #: 2900032B Area: 01 Phone: (503) 842-6301 x Inspector: Mason Lyman Start Date/Time: 4/17/2015 at 12:53:35 PM REINSPECTION OF FACILITY BASED UPON PAST UNCORRECTED PRIORITY VIOLATIONS- DATEMARKING- EVERYTHING THAT NEEDS TO BE DATED, HAS BEEN. THROW OUT POTENTIALLY HAZARDOUS FOODS AFTER BEING OPENED, AND UNDER REFRIDGERATED CONDITIONS FOR 7 DAYS. EXAMPLES OF PHF'S ARE CUT GREENS, CUT TOMATOES, MEATS, HALF AND HALF, ETC. TALKED TO PIC ABOUT COUNTERTOP CLEANING, AND ZIPLOC BAG STORAGE AND REUSE. Informational *PRIORITY OR PRIORITY FOUNDATION ITEMS CORRECTED* All priority and priority foundation violations have been corrected. 99E Comments: Person In Charge Inspection By: Mason Lyman Page 5

Page 6 of 16 Start Date/Time: 4/7/2015 at 4:03:37 PM Historical 4/7/2015 COLD HOLDING- WALKIN- COLESLAW 40F, COTTAGE CHEESE 38F, PREP FRIDGE- TOP- TOMATOES 39F, BOTTOM- DRESSING- 43F. HOT HOLDING- SOUP 180F. Inspection Result: CONTIN Establishment #: Phone: 2900032B (503) 842-6301 x Inspector: Mason Lyman Start Date/Time: 4/7/2015 at 4:03:37 PM HAND SINKS OK/ WELL STOCKED TALKED TO PIC ABOUT SANITIZING TECHNIQUES, AND MAINTAINING PREP FRIDGE UNIT. BULKS LABELED SURFACES CLEAN FREEZERS FROZEN DRY STORAGE UP/COVERED SHELVING SMOOTH/EASILY CLEANABLE TOXICS LABELED/ STORED WELL PROBE THERMOMETERS PRESENT TAPS CLEAN SINGLE SERVICE PROTECTED LIGHTS PROTECTED MICROWAVES/OVENS CLEAN RESTROOMS OK CONSUMER ADVISORY ON MENU 200 PPM QUAT SANITIZING BUCKETS- OK 50 PPM BLEACH DISHWASHER- OK FOOD FROM APPROVED SOURCES GOOD CLEANING SCHEDULE IN PLACE. **REVIEWED WITH PIC ABOUT COMMON ALLERGENS AND ILLNESS POLICY. Priority/Priority Foundation Score: 97 Core Item Total: 0 Page 6 of 16 Area: 01

Page 7 of 16 Start Date/Time: 4/7/2015 at 4:03:37 PM Priority Foundation VIOLATION OF SECTION 3-501.17 *PRIORITY FOUNDATION* Ready-to-eat food is not properly datemarked, specifically: SEVERAL ITEMS NOT DATEMARKING IN FACILITY (COTTAGE CHEESE, CREAM CHEESE, CUT GREENS, DAIRY PRODUCT). REQUIRED CORRECTION: CORRECT IMMEDIATELY. Refrigerated, ready-to-eat potentially hazardous food prepared in the food establishment and held for more than 24 hours must be marked with the date of preparation or consumption. Including the date of preparat Informational TALKED TO PIC ABOUT DATING TECHNIQUES. GAVE HANDOUT. WILL REINSPECT. 3-501.17 *New Rule - Effective September 4, 2012* SECTION 3-302.11 Frozen commercially packaged raw animal foods that have been opened must be separated during storage, preparation, holding, and display from frozen, commercially processed and packaged, ready-to- 88D 3 Points Comments: Person In Charge Inspection By: Mason Lyman Page 7

Inspection Type: REINSP Page 8 of 16 Start Date/Time: 12/2/2014 at 3:59:33 Historical 12/2/2014 Page 8 of 16 Inspection Type: REINSP Inspection Result: COMPLD Establishment #: 2900032B Area: 01 Phone: (503) 842-6301 x Inspector: Mason Lyman Start Date/Time: 12/2/2014 at 3:59:33 PM CONSUMER ADVISORY ON MENU BOARD ONLY, AS NO PAPER MENUS ARE DISTRIBUTED TO CUSTOMERS. CONSUMER ADVISORY ON MENU FOR EGGS, AS EGGS ARE THE ONLY ITEM ON MENU THAT CAN BE POTENTIALLY UNDERCOOKED BASED UPON CUSTOMER SPECIFICATIONS, AND ACCORDING TO FACILITY POLICY. NO CONSUMER ADVISORY NEEDED ON BURGER ITEMS AT THIS FACILITY, SINCE POLICY IS TO COOK ALL BURGERS TO AT LEAST 155F TO BE WELL DONE AND NO POTENTIALLY FOR UNDERCOOKED MEAT. NO VIOLATIONS AT THIS TIME- THANK YOU Comments: Person In Charge Inspection By: Mason Lyman Page 8

Page 9 of 16 Start Date/Time: 11/14/2014 at 2:42:52 Historical 11/14/2014 COLD HOLDING- WALK IN - SOUR CREAM 40F. PREP FRIDGE- TOP- MAYO 41F BOTTOM- TOMATOES 41F. HOT HOLDING- CLAM CHOWDER- 150F. Priority/Priority Foundation Score: 97 Core Item Total: 2 Inspection Result: CONTIN Establishment #: Phone: 2900032B (503) 842-6301 x Inspector: Mason Lyman Page 9 of 16 Area: 01 Start Date/Time: 11/14/2014 at 2:42:52 PM HAND SINKS OK/WELL STOCKED DRY STORAGE UP/COVERED FREEZERS FROZEN **LIGHTS PROTECTED, PUT SHIELDS ON LIGHTS IN SODA DISPENSING ROOM TOO. BULK CONTAINERS HAVE LABELS TOXICS ARE LABELED/STORED BELOW MICROWAVES/OVENS CLEAN TAPS CLEAN GOOD DATEMARKING SYSTEM RUNNING WATER IN DRIP WELL- GOOD EMPLOYEE CUPS WITH LIDS AND STRWAS- GOOD RESTROOMS OK/WELL STOCKED MOP HUNG UP 400 PPM QA SOLUTION FOR SANITIZING SURFACES 50 PPM BLEACH DISHWASHER CLEAN SODA NOZZLES EVERYDAY WITH WASH RINSE AND SANITIZE OVERNIGHT

Page 10 of 16 Start Date/Time: 11/14/2014 at 2:42:52 Priority Foundation VIOLATION OF SECTION 3-603.11 *PRIORITY FOUNDATION* A consumer advisory is not provided, is not presented in the correct format, or does not contain the required information, specifically: NO CONSUMER ADVISORY FOR THE BURGER, BUT ONE IS LOCATED ON MENU FOR EGGS ONLY. REQUIRED CORRECTION: CORRECT IMMEDIATELY. A facility that serves or sells animal foods raw, partially cooked or without otherwise being processed to eliminate pathogens either in a ready-to-eat form or as an ingredient in another ready-to-eat food shall Core PLEASE INCLUDE BURGERS. 3-603.11 VIOLATION OF SECTION 3-304.12 In-use dispensing utensils are not properly stored, specifically: SCOOPS IN DRY STORAGE HAVE NO HANDLE. REQUIRED CORRECTION: In-use food preparation or dispensing utensils shall be stored: 1) in the food with the handles above the top of the food; 2) on a clean portion of the food preparation table or cooking equipment if they are cleaned and sanitized as r Core PLEASE CORRECT WITH ONE OF OPTIONS IN VIOLATION. 3-304.12 VIOLATION OF SECTION 6-202.14 Toilet rooms are not completely enclosed or provided with a tight-fitting, self-closing door, specifically: DOORS FOR RESTROOMS IN HALLWAY DON'T HAVE SELF CLOSE MECHANISM. REQUIRED CORRECTION: A toilet room located on the premises shall be completely enclosed with a tightfitting and self-closing door. Comments: PLEASE CORRECT. 6-202.14 3 Points Person In Charge Inspection By: Mason Lyman Page 10

Page 11 of 16 Start Date/Time: 4/8/2014 at 2:10:40 PM Historical 4/8/2014 THIS IS A SEMI ANNUAL INSPECTION COLD HOLDING REACH IN-BEEF 38F WALKIN -COTTAGE CHEESE 37F PREP TOP- BEANS 41F, BOTTOM SLAW AT 41F DATEMARKING LOOKS GREAT DRY STORAGE ALL LOOKS GOOD GREAT COOLING PRACTICES HOT HOLDING- SOUP AT 172F SANITIZERS AT 50 PPM DISHWASHER BUCKET AT 200 PPM QUAT RESTROOM, CLEAN AND STOCKED EQUIPMENT AND SURFACES CLEAN MOP ROOM GOOD, MOP IS HUNG ABOVE SINK OVERALL FACILITY CLEAN AND WELL MAINTAINED, THANKS Priority/Priority Foundation Score: 97 Core Item Total: 1 Inspection Result: COMPLD Establishment #: Phone: 2900032B (503) 842-6301 x Inspector: Annette Pampush Start Date/Time: 4/8/2014 at 2:10:40 PM Page 11 of 16 Area: 01 Priority Foundation VIOLATION OF SECTION 3-603.11 *PRIORITY FOUNDATION* A consumer advisory is not provided, is not presented in the correct format, or does not contain the required information, specifically: REQUIRED CORRECTION: CORRECT IMMEDIATELY. A facility that serves or sells animal foods raw, partially cooked or without otherwise being processed to eliminate pathogens either in a ready-to-eat form or as an ingredient in another ready-to-eat food shall PLEASE ADD TO MENU BOARD AND ON TABLE TENTS 3-603.11 3 Points

Page 12 of 16 Start Date/Time: 4/8/2014 at 2:10:40 PM Core 4-204.11 VIOLATION OF SECTION 4-204.11 Ventilation hood systems are not designed to prevent drippage or drainage on to food-contact surfaces, specifically: REQUIRED CORRECTION: Exhaust ventilation hood systems shall be designed to prevent grease or condensation from draining or dripping onto food, equipment, utensils, linens, single-service and single-use articles Comments: BUILDUP OF GREASE AND DRIPPING VENT IS NOT PULLING WELL ESPECIALLY IN MIDDLE AND RIGHT SIDE THERE IS A MAINTENANCE SCHEDULE HOWEVER MAY NEED DO ADDITIONAL CLEANING IN BETWEEN Person In Charge Inspection By: Annette Pampush Page 12

Page 13 of 16 Start Date/Time: 7/25/2013 at 2:59:53 Historical 7/25/2013 THE PURPOSE OF THIS VISIT IS A SEMI ANNUAL INSPECTION. COLD HOLDING ITEMS CHECKED PREP UNIT, PICKELS 40F WALK IN, MILK 39F ICE CREAM CASE IS FROZEN ALL FREEZERS ARE FROZEN SCOOP WHEN IN USE IS UNDER RUNNING WATER FLOORS AND WALLS ARE IN GOOD REPAIR LIGHTS ARE PROTECTED HOOD IS CLEAN THERMOMETERS ARE PROVIDED BAR TAPS ARE SERVICED GOOD SIGNS FOR HANDWASHING GOOD EMPLOYEE HANDWASHING SANITIZER 100PPM QUAT DISHWASHER IS A SANITIZER 50PPM BL GOOD DATEMARKING DRY STORAGE IS PROPERLY STORED SLUSHY MACHINE IS CLEANED OUT ON SATURDAYS. PEPSI SPIGOTS ARE CLEANED EVERY OTHER NIGHT FOOD CONTACT SURFACES ARE CLEAN AND SANITIZED THERE ARE NO VIOLATIONS AT THIS TIME, THANK YOU! Priority/Priority Foundation Score: 100 Core Item Total: 0 Inspection Result: COMPLD Establishment #: Phone: 2900032B (503) 842-6301 x Inspector: Melissa Kauffman Start Date/Time: 7/25/2013 at 2:59:53 PM Page 13 of 16 Area: 01 Informational This facility has # food handlers with # having valid food handler certificates. 99O

Page 14 of 16 Start Date/Time: 7/25/2013 at 2:59:53 Comments: Person In Charge Inspection By: Melissa Kauffman Page 14

Page 15 of 16 Start Date/Time: 1/15/2013 at 1:19:50 Historical 1/15/2013 THE PURPOSE OF THIS VISIT IS A SEMI ANNUAL INSPECTION. Priority/Priority Foundation Score: 100 Core Item Total: 0 Inspection Result: COMPLD Establishment #: Phone: 2900032B (503) 842-6301 x Inspector: Melissa Kauffman Start Date/Time: 1/15/2013 at 1:19:50 PM COLD HOLDING ITEMS 43F CHEESE, 41F SALSA (MONITOR TEMP TO BE BELOW 41F) WALK IN 38F CHEESE MICROWAVE IS CLEAN AND FOOD CONTACT SURFACES ARE CLEAN FREEZERS ARE IN GOOD REPAIR HOT HOLDING CHILI 193F THERMOMETERS ARE PROVIDED BEER TAPS ARE IN GOOD CONDITION RESTROOMS ARE IN GOOD REPAIR HANDWASHING SINKS ARE OPEN AND ACCESSABLE GOOD DATE MARKING DRY STORAGE IS IN GOOD CONDITION PIC HAS GOOD DEMONSTRATION OF KNOWLEDGE SANITIZER 50PPM BL DISHWASHER TESTED 50PPM BL DISCUSSED EMPLOYEE ILLNESS FOOD HANDLER CARDS ARE PROVIDED NO PRESENCE OF PESTS OBSERVED OUTER OPENINGS ARE PROTECTED GARBAGE AND RECYCLING Page 15 of 16 Area: 01

Page 16 of 16 Start Date/Time: 1/15/2013 at 1:19:50 Comments: Person In Charge Inspection By: Melissa Kauffman Page 16