|
e+i3t5i- ,....;.1,"i ,: frir,
<br /> I -, " 4 -- RAMSEY COUNTY PUBLIC HEALTH DEPARTMENT
<br /> - Division of Environmental Health ,� ,`
<br /> 1910 West County Rd B
<br /> Roseville Minnesota 55113
<br /> Tele:292-7898
<br /> FOOD SERVICE_ ESTABLISHMENT INSPECTION REPORT
<br /> LICENSEE 1'f E_rl lg.{.G'sd' �^s (-- I.D.1t /1 L:�.�%. , r-"t_ i
<br /> }r/ A ) 7 .41 r- Via-r Ai
<br /> BUSINESS NAME I i-k_C }`'1�'{r''.ldA-tf • ESTABLISHMENT PHONE
<br /> All f''' ..
<br /> ADDRESS r�(T',I)(,' -rI CIs:.t-li7oAy "i" CITY/TOWNSHIP /`"(c t r[- / �:'•Z 3� T;
<br /> f i.
<br /> ITEMS MARKED AND ORDERS WRITTEN BELOW MUST.BE COMPLIED WITH BY DATE INDICATED .-
<br /> ITEM WTDESCRIPTION ITEM WT. DESCRIPTION ITEM WT. DESCRIPTION '0
<br /> E
<br /> ■ FOOD t 8 1 Pre-flushed,scraped,soaked 34 1 Outside storage area,enclosures properly •t=
<br /> ® constructed,clean;controlled incineration
<br /> Source,Wholesome,No Spoilage 19 2 Wash,rinse water:clean,proper tempera- 4i
<br /> ®0 ture
<br /> Original Container,Properly Labeled INSECT,RODENT ANIMAL CONTROL r
<br /> 20 4 Sanitization rinse:clean,temperature, -
<br /> FOOD PROTECTION concentration,exposure timeIII
<br /> 35 4 Presence of insects/rodents-outer openings
<br /> Potentially hazardous food meets temp- 21 1 Wiping cloths:clean,use restricted protected,no birds,turtles,other animals
<br /> erature requirements during storage,
<br /> preparation,display,service and 22 2 Food-contact surfaces of equipment and FLOORS,WALLS AND CEILINGS
<br /> transportation utensils clean,free of abrasives and
<br /> detergents 36 1 Floors:constructed,drained,clean,good ,
<br /> repair,covering installation,dustless
<br /> ti
<br /> Facilities to maintain product
<br /> temperature (23 1 Non-food contact surfaces of equipment cleaning methods
<br /> Y and utensils clean
<br /> 5- Thermometers provided and conspicuous 37 1 Walls,ceiling,attached equipment:con-
<br /> 24 1 Storage,handling of clean equipment- structed good repair,clean surfaces,
<br /> 6 ; Potentially hazardous food properly utensils dustless cleaning methods
<br /> t.., thawed
<br /> 7 Unwrapped and potentially hazardous 25 1 Single-service articles,storage,dispensing LIGHTING
<br /> food not re-served 26 2 No re-use of single-service articles 38 1 Lighting provided as required-Fixtures
<br /> WATER
<br /> ( shielded
<br /> ('8 Food protection during storage,prepar VENTILATION
<br /> t.-. ' a tion,display,service and transportation 27 5 Water source,safe:Hot and cold under
<br /> pressure (39) 1 Rooms and equipment-vented as required
<br /> 9 Handling of food(ice)minimized —•
<br /> 10 Food(ice)dispensing utensils properly SEWAGE DRESSING ROOMS
<br /> stored 28 4 Sewage and waste water disposal 40 1 Rooms clean,lockers provided,facilities
<br /> PERSON•
<br /> NEL PLUMBING clean,located,used
<br /> OTHER OPERATIONS
<br /> 11 Personnel with infections restricted 29 1 Installed,maintained
<br /> -- 41 5 Toxic items properly stored,labeled and
<br /> 12 Hands washed and clean,good hygienic (30`; 5 Cross-connection,back siphonage, used
<br /> practices ,..._-• back flow
<br /> 13 Clean clothes,hair restraints 42 1 Premises:maintained,free of litter,Un-
<br /> TOILET AND necessary articles,cleaning/maintenance
<br /> FOOD,EQUIPMENT AND UTENSILS HAND-WASHING FACILITIES equipment properly stored,authorized pers.
<br /> 14 Food(ice)contact surfaces:designed, 31 4 Number,convenient,accessible,designed, 43 1 Complete separation from living/sleeping
<br /> constructed,maintained,installed, installed quarters,laundry —
<br /> located NSF standards 32 2 Toilet rooms enclosed,self-closing doors, 44 1 Clean,soiled linen properly stored
<br /> '15 i Non-Food contact surfaces:designed, fixtures,good repair,clean:Hand cleanser, i 45, Compliance with MCIAA
<br /> k.-_ constructed,maintained,installed, sanitary towels/hand drying devices - Yes No t
<br /> located NSF standards provided,proper waste receptacles,tissue `-
<br /> 46 First Aid for Choking Posted
<br /> • 16 2 Dishwashing facilities:designed,con- i
<br /> structed,maintained,installed,located, GARBAGE AND REFUSE DISPOSAL Yes ` No
<br /> operated 33 2 Containers or receptacles covered:ade- '. r F
<br /> 17 -1—— a,ctiernicai test qj CHEMICAL SANITIZATION� t7 t
<br /> uafe-nunabor,insect/rode roof, 1
<br /> kits provided,gauge cock(i/4"IPS valve) frequency,clean Dish Washing:Agent t. �� Conc - ppm
<br /> _Wipe Down:Agent .t-1,L,'' Conc /f (-( ppm
<br /> TEMPERATURES: Hot Water Sanitizing - Hot Foods f t - Cold Foods =- - t✓%,
<br /> NOTE:All new food equipment must meet the applicable standards of the National Sanitation Foundation.Plans acid-specifications must be
<br /> submitted for review and approval prior to new construction,remodeling or alterations.
<br /> ITEM (' REMARKS AND ORDERS
<br /> / IE t
<br /> _ k 4, "/.-,_ -S '/4..(:,x_..-:-.- __ -->�• s_`f , ;'f' �`{:,f<- ,_ z:,•::..../077:,::.--..„.---1 -
<br /> //i` .�.•L- : (.:( fti-
<br /> - '-j•,�."t r ",-..
<br /> -/ . ;!'(-,-7,•;:-, 7 "
<br /> ,; --. ft'> ,T j'.,_,/,_:,:.,-:...—z<:-:.1 /r1 ' ._ .'s•!'
<br /> 'Ili
<br /> i f,f f ,.(.�;. i_E i ''''S
<br /> eY i f' c f ,t•; </ / 3 r 1. �S
<br /> / � ='!/,/7r''1'>A t , r; 'r-i-/: 3 !:�_-{ r -;r_.r( .•,%.r't.1,''�.L. iz.-�-t--c LA j -t t C--7 - --i r
<br /> ! !f {. fi {.1- .�- _03/ 3 Al.,
<br /> l: (741(i.- f dt�t, .} �4.. '''
<br /> — - �. _r'f 1• {L `-1�a�1'? �" L� %. t t��'- :^ri.t- � ,. { �-�.,� y' .'7.
<br /> (
<br /> - , ! /-
<br /> DATE • `t SCORE ,- Received by - - %�1 7 fy
<br /> e ( yr-. f
<br /> TIME ' _• / PAGE ! of ,--- Public Health Sanitarian ---'d .r /-' t
<br />
|