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NEW YORK STATE DEPARTMENT OF HEALTH Temporary Food Service Establishment B ‘u0au of Communi Eniermenial Hea ane Foes Proton Subpart 142 nspecten Repo ESTABLISHMENTNAME: Lethe Conn £2 operator's Name: Pubncde arsitle raaeasrtive 43¢ Qe \ewave tye caany 1 Bre ZipCode lyre DWBA cacy Time Begin Time End Capac Lzseee | [ a = oom a mtr Lui TT TT TT Wfole|fo fa] [ele] set [olelele I] Hous Mintos Service Type: NSVECTION@ _RENSPECTION © PREOPERATIONAL © HAGCP ONLY © COMPLANT O FIELD VISIT) INCIDENT. MLNESS © Numer cf Fed Vieistons Number of Biue Violations Roinspection CG ae" (O mn ee es 7s tess. Thasa tems must recive immed attention. ly hazardous toad at improper tarperetne 45 - 140°F) 20), (0) cocked 1 140° or above axa: eogs, 148°: HOF; 200.6) rs don that fends 18 “8O Ursts (ange, epcons, ont wh coed © Accurete toad thermometers not avtlale cr used. 27) 10 Inecaquats tects to inca tempor); 15 "11. Pesala water imoreperyprteciec rom an unapproved source. “120 Imereer spose ol sewage er qld waste. (ah |CTHESE ITEMS ARE CONSIDERED IMMINENT HEALTH HAZARDS SANITATION and MAINTENANCE ITEMS: tate et ans eto raenrc ed see operas a cleanness 130 [Fst preci n repr, tae, co, soe pxkages eos strein | wale tanes e Sgh 10. 1 re 140) Food workar wih naequsta personal leans t Cob 15) Surfaces not easily cleanabla, nt cleen and sanitized .6;.7 sO ‘Single service anicles not protected: reused .6(4) 172) Hand washing foci inadequate 8; 12; 18 18 Accurate thermometer not avilable in hot and cold food storage faitiag 4 | | | 190 Fars, wa, coin, ight necunio().18.14 202) insets nt canted 14a), 6) 21) Food eparation sas not separ om hing an sloping quarters. 16 220) Tresh espe inadequate 1 (0) 290 Onin ios ape tens 7.19 eae pips er PP a i _— fad a NEW YORK STATE DEPARTMENT OF HEALTH Temporary Food Service Establishment a eof Commi moar anand Fd Potton Spat 12 hedscon Pop esrausmentwne: WILSON ENTREALSE A oremmpons name LRA e Adee Addess:tve___ YS Dean ALE. County: FEV Zip Code: Weorw dD Facity “ime Bagi Tine Eng aa AQ4MPL os Cove oT) a 30 Seve Tine mytld Tat atin ele |[ LT TTT] lola] fis] sueee.ohele[ole]( | Service Type: Hours” Minute INSPECTION @® _RENSPECTION ©) PRE-OPERATIONAL HACCP ONLY © COMPLAINT C) FIELD VISIT) INCIDENT ©) LANES © ‘Number of Red Violations ] Total Red Viotations ‘Number of Blue Violations Roinspection ©) Found DL_| “KetCorsciee L é | || ‘| nao —_GRITIGAL ITEM: These tems reste dren to eco which ee to fondbome ness. These ems mus reehe im SO fifequgsoonsnace ctr coined ates 3, | oar 2 Potenttyrazrdous ood - nett ete orpertton St) (8) 3 Potently hazardous ont incroper tmp (15% - 140%), (e) ‘4 |Potoritaly hazardous foods are not cocked te 140"F or above exoapt eggs, 145°: otk, 150°; ground meat, 158°F; poulky, 165°F;.3(¢).() 80 Tote tems inpropery sido used | “0 Peron wth cieas ors erste by iat nated. 16 70 | Fees workers donot wesh hands thoroughly (generat lathe) ater contaminating 7O lpi hands 16 20) Utensis (tongs, spoons, speluas, sarary gloves) not used to alimnale bere hand | contact wth cocks er prepares foods 3t¢) 90) Accurate food thormoretere not vale ruses 2) 100) edecuai fecites to mann torpertre 30) 4 18 11O | Patti weir meroperiy protected rm an unapproved source 9 “120 tmeroper ceposal of sewage and Nquld vast 1 (2) “THESE ITEMS ARE CONSIDERED IMMINENT HEALTH HAZARDS _ 7 SANITATION and MAINTENANCE ITEMS: These items rotate to maionanco ct ‘of {00d service operations and cleanliness. 13 © Fast no pte in anspen stags, dsp, seven: packaged good stdin | water or unalned lee 24.10; 15 +40 road workers win inecequat personal clearness. 18©) Surfaces not easily cleanable, not clean and sanitized 6.7, 18©) singe sone aries not protected used (2) 172 Hand wasting faites inadequate 8; 12:18 18 Accurate thermometer not avalable in ot and cold food storage facts 4 19) Fors, wals, cong, ghting inadequate 6(e);-19;.14 200) ieee not cortrted.14( (0), () 210) Food operaton areas not separate rom ing an sloesing quarts. 16 220) Trash dspcea aceuate 11) 23() Oparaing winout port, misceboneous 17:19 BRA A CASE Fanon Seta oT a) ‘Comins: ey PAA_ a . = foo m Augitoun NEW YORK STATE DEPARTMENT OF HEALTH Temporary Food Service Establishment B Sano Coomny Encore uae eae saehtthemnte A Cigar esrasusnnermiane Meeies Reasr soe Shits — openaronswe._ Ma [Y, — raéesswe DNELAWELE Ave. FACS comy ERIE zipcode. YEO Tne as Tio a 680 sever Tn gue Sebi IL It 1) [ofa] (iz) sve [slace MIL ITI aca Tipe: Dall Savea Fa ar INSPECTION @ REINSPECTION ©) PRE- ‘OPERATIONAL ©) HACCP ONLY () COMPLAINT C) FIELD VISIT © INCIDENT © ILLNESS ‘Numbar of Red Viiations |] Teal Red Vioetions Number of Bue Viektions [|] Reinspection QO) oune! [| “Net Corecied Found LI | Requied Ye Ng —GEITIGAL ITEM: These ons rate cet ofatre which aa eodoore tess. These leis mist cove mec anton, “1O ed tem unre sures: iterates crated: eooved a), 2Q |Poteiiay hazards foc nc fit prparaion 3), fe) ‘8Q Posontiay raze ood at pops temperate 45% - £40) 3), () 4© | Petey nazerdous fcads are rot ccaksd to 140°F or above except: eges, 45°F; otk, 150°F: round mast, 155°; pouty, 185°: 310), ) 50 Taso tame ingropaty soe! e-uees 4 “6O | Persens with disease or infection trensmitied by food not restricted 16 7Q Feed workers do nat wash hands thoreughly (generate athe) after contaminating their hanes 18, ‘QO Una ge pcos, sxe, santa Goes) nous iia tate herd niet vce r Sepa cde 9 Poot cos trereretes rl wieha er uted 10) inadequate tacts 1 maintain toripereture 0); 4:.15 “11 © j Pra weer more peace rem an unapproved sourc.9 “12O| trope poset sovage and qu wast 1) [eters ane CONDOERED MINED NEALTHWAZARDS SANITATION and MAINTENANCE [Ti 180 [Feed not protec in warp. erage dip, | ter oruntoned eh rs +40 Food wore wth nacoqtcprsonallanoss | 15© Surfaces not essiycleanabe, rot clean and sonized 63.7 | 16 Singo sonic ales rot retaciec eusd td) | 17O Hand westina aiees nao. .12.18 18 Accurate thormomete ot aval n ot nd coord storage ais 190 Flats, wats, clr, ling naoquate i118 20) sets nat conte.) (8), ) 21©) Foot portion areas not sper om hing and loping quar. 16 22) rash cisposal inadequate 11 to) 222) Operating without a parm, misstaneous 17.18 1 \ idlroh: SR M197 Bukeens loi Syistee ane Ons Yo4yoe- J 47082 ——— ee foo m

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