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btemtumeesk. eeee BENE _Gueau of Comunity Envronmental Heath and Food Prtecion Subpart 142 inspection Report ESTABLISHMENT NAME; _ oPenarons awe: WoL oe ue Temporary Food Service Establishmént Acres: TWIG County zecwe (YQ a oe ae aos Vator Aapiirx| ] mace aes cas sso seco Lit LT Tbr] 08) 0b) sees pine BOT Service Type: ce tee INSPECTION @_FEINSPECTION ©) PRE-OPERATIONAL ©) HACCP ONLY © COMPLAINT © FIELD Visit (© Woiwent O Fours inure ILLNESS rarer ron IG] Taestaties FV] norman vous [>] Renspecion row (ola) net oneted™ CAC) reve O Rewied"” No i ITICAL ITE} “(© | Feed trom unapproved sources: aduioratec contaminated reserved a), te, 2© | Petry hazardous fod -not mite preparation fo), () ‘SO | Potetiatynazareous foo at improper tempat (25-140), f) 4 | Petentaty hazardous foods ara not ccoked to 40% or above except: 29g, 145-F: | por, 180° ground mest, 158%: pouty, 165%; Sf), 6) 5Q | Tose tems impropc stored or used. | "6O)| Person wi isese or toto ransmited by ood na rsteted 18 7 | Fo ware one wasn ands xa. oso ha ater crarinaing ther ands 18 “3 Utensis ngs, spoons, spas, santary doves) ot Used to diminata bar hae | contact wth cooked or pranared Secs 31h 9Q) Accra food thamometes not alae o used 4) 10 tnadeqie acts to main temperate 2(), 4.15 ‘11 © Potato watrimprpory protected ran an unapproved soca. 9 “12D Improper csposal of sowage and quid wasto 11 () “THESE ITEMS ARE CONSIDERED IMMINENT HEALTH HAZARDS SANITATION and MAINTENANCE ITEMS: Theo tans ela to mahtenaco fad sevice praions re ceaniness. esa Hams relat det t lator vhich lad to ondbome ness. These tame mis recive immed atonton. 190 [Fondat wouiogn wap, srago dopa: pckagedgoom toon alone Sor bee 14) Food workers with inadequate personal cleanliness 1 16 sutacos no cay closatie nt clean and said 6,7 16) sil snc ries not protected eed 172 | Hana wastinn facilities inadequate .8;.12;.16 18) Accurate thermometer nt avaiable in ot and col foe storage facies 19E| Fer, wats, cote, toning inadequate 5) 15.14 20D) insects not contaliad 14a), (0), (6) 21 © | Feud cpraon areas na separa rom fing ae slepng queries 16 222)| Trash cspsal inadequato 11 ) - 232) | Operating without a permit, miscalancous 17; 19 — Giled cligien 151° 7 Cove bas Quek s i gee mage, 1S. Gay (Moma fast Sips Got 47082 ‘Buvsu Communty Enironmentalieathand sooatmtecion =O”. R@MOFary Food Service Establishment H BBE 10a ot CommaniyEnironmana ath and Fod Frotcion Sepa ane cton oa ESTABLISHMENT wove Badtad Cupraiony OPERATORS ween thon Binet = ssomee:we_\ flare Arve Carre Zecode: LYQQR E County: Zhe EA CT ara Steers ae seo etn /HILTT LIT Tg \o¢)\7e Swat Agi | |f Fours inves Service Typ Soe Seer MSPECTION ®_FEINSPECTION © PREOPERATIONAL © HACCP ONLY © COMPLAINT C) FIELD VISIT O INCIDENT © utness Number of Red Vilatons [ Tela Red Votatons Number of Bue Velations gotten Ow fom OQ) Tresor” OO] “me staen en [A] een Ow CRITICAL ITEM: These its rato cect to factors which oad to ooehomo nas. Thes tars must reco inedte tention, “10 [Reta unpre saucos aioe conan esd Sa, Ota 4 5 I 7 20 [Pay hom e p 20, 6) . 3Q | Potente azareos food at inoepertampecae ASE 140%) 30,62) ‘| 4Q Beton cards fats ao not caked 140 e above exept ee, 45; vk, 150°: ground met, 18°F oul, 185%: 50), 50 | Tonic items imoropery stored or wed 4 “6D | Persons wih dase or ineeton transits by fod nt restited.16 70 [Ferre donot wash hands cup (rare ae) tr aang Ohne mands 16 “BD Utnsts tongs, spoons, spin, sary gloves) net used to aliminel bare hand | contact wit cooked er prare onde 3h 9Q | Acautte ood thememoter nt avaite cr ved.) | 100 inadequate ects to maintain iemperature 30); 4; 15 | 11© | Potebie wate impropery protected: trom an unarproved source 9 “2D immer pnt sense stove) } THESE ITEMS ARE CONSIDERED IMMINENT HEALTH HAZARDS | _ _ | SANITATION and MAINTENANCE ITEMS: these ions rasta maiienercs ol eed vice dpartera ara elaninass _ 19(@ | Fosset pratcod in vanaon, stage, dopy, eres packaged gpa sexes |valor rnin co 3h ts 142 Food workers wih inadocuate personal cleaniness 13, Conlohers of cu

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