|
f t
<br /> ,.. 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
<br /> RCIle3e.44—
<br /> CCAs4 I.D.tt_I t V100 'I't OS, /
<br /> Sy
<br /> BUSINESS NAME T-N+ j , e I P —.— r6 `
<br /> j� f ESTABLISHMENTPHONE
<br /> ADDRESS Zt `�p __�UW �C`} A- 2_ CITY/TOWNSHIP ��r2cc-miry,f'1:e'
<br /> ITEMS MARKED AND ORDERS WRITTEN BELOW MUST BE COMPLIED WITH BY DATE INDICATED
<br /> ITEM WT DESCRIPTION ITEM WT. DESCRIPTION ITEM WT.I DESCRIPTION
<br /> FOOD 18 1 Pre-flushed,scraped,soaked 34 1 I Outside storage area,enclosures properly
<br /> — 19 2 Wash,rinse water:clean,proper tempera-
<br /> ture
<br /> em era- constructed,clean:controlled incineration
<br /> 1 5 Source,Wholesome,No Spoilage P P P
<br /> ture -
<br /> 2 1 Original Container,Properly Labeled INSECT,RODENT ANIMAL CONTROL
<br /> 20 4 Sanitization rinse:clean,temperature,
<br /> FOOD PROTECTION concentration,exposure time 35 4 Presence of insects/rodents-outer openings
<br /> 3 5 Potentiallyhazardous food meets tem protected,no birds,turtles,other animals
<br /> p- 21 1 Wiping cloths:clean,use restricted
<br /> erature requirements during storage, ---
<br /> preparation,display,service and 22 2 Food-contact surfaces of equipment and I FLOORS,WALLS AND CEILINGS
<br /> transportation utensils clean,free of abrasives and
<br /> detergents 36 1 Floors:constructed,drained,clean,good
<br /> 4 4 Facilities to maintain product g repair,covering installation,dustless
<br /> temperature 23 1 Non-food contact surfaces of equipment cleaning methods
<br /> and utensils clean
<br /> 3T 1 _Malls, ceiling,attached equipment:
<br /> 5 1 Thermometers provided and conspicuous .�„_, con-
<br /> _24 1 Storage.handling of clean equipment- `,-/ structed good repair,clean surfaces,
<br /> 6 2 Potentially hazardous food properly ufensils dustless cleaning methods
<br /> thawed
<br /> 25 1 Single-service articles,storage,dispensing LIGHTING
<br /> 7 4 Unwrapped and potentially hazardous
<br /> food not re-served 26 2 No re-use of single-service articles 38y 1 Lighting provided as required-Fixtures
<br /> shielded
<br /> WATER
<br /> 8 2 Food protection duringstorage,prepar-
<br /> 1 VENTILATION
<br /> at;on,di_olay,-service and transportation
<br /> 27 5 Water source,safe:Hot and cold under ---------j------•--_-.__.__-
<br /> -— pressure 39 1 Rooms and equipment-vented as required
<br /> 9 2 Handling of food(ice)minimized
<br /> SEWAGE DRESSING ROOMS
<br /> 4'7)0 1 Food(ice)dispensing utensils properly
<br /> stored 28 4 Sewage and waste water disposal 40 1 Rooms clean,lockers provided,facilities
<br /> clean,located,used
<br /> PERSONNEL PLUMBING
<br /> OTHER OPERATIONS
<br /> 11 5 Personnel with infections restricted 29 1 Installed,maintained 41 5 Toxic items properly stored,labeled and
<br /> 12 5 Hands washed and clean,good hygienic 30 5 Cross-connection,back siphonage, used
<br /> practices back flow
<br /> 13 i 1 I 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 2 Food(ice)contact surfaces:designed, 31 4 Number,convenient,accessible,designed, 43 1 Complete separation from living/sleeping
<br /> 4 constructed,maintained,installed, installed quarters,laundry
<br /> located NSF standards : -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, 45 Compliance with MCIAA
<br /> constructed,maintained,installed, sanitary towels/har_agslryjna devices Yes No
<br /> located NSF standards provided,proper waste receptaclerlissue
<br /> 16 2 Dishwashing facilities:designed,con- 46 First Aid for Choking Posted
<br /> structed,maintained.installed,located, GARBAGE AND REFUSE DISPOSAL Yes_ No -
<br /> operated 33 2 Containers or receot_aclea covered:ade- CHEMICAL SANITIZATIO ' ,
<br /> 1-7-- 1 Accurate-Thermomotors.chemic- _- _ •uate number,insect/rodent.roof, :ish-Washing--,4gent en ( 3
<br /> pm
<br /> kits provided,gauge cock(IA”IPS valve) - frequency,clean
<br /> Wipe Down:Agent Conc ppm
<br /> TEMPERATURES: Hot Water Sanitizing ..,—' Hot Foods ,..>",s,---o/ o Cold Foods -_-:"C(-0
<br /> NOTE:All new food equipment must meet the applicable standards of the National Sanitation Foundation.Plans and specifications must be
<br /> submitted for review and approval prior to new construction,remodeling or alterations.
<br /> ITEM REMARKS AND ORDERS
<br /> 144c + , i vti Lam_ Cilyc'-u-tc :�qi .&-elci:S(A4C6NIS
<br /> ----6Kits �
<br /> 7L� / 6I ye .,-.02...,....,_.
<br /> z`- -d- OY - /k-ici, t� _e z /�Aui-e€/d/ eve S i / / /` /
<br /> do /te 4 Vtir ..-6...;/i --i 7`�ze r !-e. )P-4/-- ? �Cc kie -
<br /> J7 t!e,t 2_ 7�ZZ C u � ZU�C �'7 - — LC> / C
<br /> v2 ea . elite �L�0 I, , 1
<br /> t IP
<br /> DATE ezei47/ SCORE 9 Z. Received by ` `:rte _ A _ Mb
<br /> TIME ! �� I/�- - 4
<br /> PAGE of Public Health Sanitarian // S
<br />
|