Page 1 of 3

    Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   BB031  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CIRCLE K #4700171 Address  1090 MAIN ST. NW
Owner or Operator   MAC'S CONVENIENCE STORE, LLC City   BOURBONNAIS Zip Code   60914
 
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
 
FOOD
18
 
1
 Pre-flushed, scraped, soaked
34
  
1
 Outside storage area, enclosures properly constructed, clean: controlled incineration
*1
  
5
 Source, Wholesome, No Spoilage
19
  
2
 Wash, rinse after: clean, proper temperature
2
  
1
 Original Container, Properly Labeled
*20
X
4
 Sanitization rinse: Clean, temperature, concentration   INSECT, RODENT ANIMAL CONTROL
 
FOOD PROTECTION
*35
X
4
 Presence of insects/rodents - outer openings protected; no birds, turtles, or other animals
*3
  
5
 Potentially hazardous food meets temperature requirements during storage, preparation, display, service and transportation
21
  
1
 Wiping cloths: clean, use restricted
22
X
2
 Food contact surfaces of equipment and utensils clean, free of abrasives and detergents  
FLOORS WALLS AND CEILINGS
36
X
1
 Floor: constructed, drained, clean, good repair, covering installation, dustless cleaning methods
*4
  
4
 Facilities to maintain product temperature
23
X
1
 Non-food contact surfaces of equipment and utensils clean
5
 
1
 Thermometers provided and conspicuous
37
X
1
 Walls, ceiling, attached equipment: constructed good repair, clean surfaces, dustless cleaning methods
6
 
2
 Potentially hazardous food properly thawed
24
  
1
 Storage, handling of clean equipment utensils
*7
  
4
 Unwrapped and potentially hazardous food not re-served, Cross Contamination
25
X
1
 Single-service articles, storage, dispensing  
LIGHTING
26
  
2
 No re-use of single-service articles
38
  
1
 Lighting provided as required - Fixtures shielded
8
X
2
 Food protection during storage, preparation, display, service and transportation  
WATER
  
VENTILATION
*27
 
5
 Water source, safe: Hot and cold under pressure
39
  
1
 Rooms and equipment - vented as required
9
  
2
 Handling of food(ice) minimized, methods  
SEWAGE
  
DRESSING ROOMS
10
  
1
 Food(ice) dispensing utensils properly stored
*28
  
4
 Sewage and waste water disposal
40
X
1
 Rooms clean, lockers provided, facilities clean
 
PERSONNEL
  
PLUMBING
  
OTHER OPERATIONS
*11
  
5
 Personnel with infections restricted
29
  
1
 Installed, maintained
*41
X
5
 Toxic items properly stored, labeled and used
*12
  
5
 Hands washed and clean, good hygienic practices
*30
 
5
 Cross-connection, back siphonage-backflow
42
  
1
 Premises: maintained, free of litter, unnecessary articles, cleaning/maintenance equipment properly stored, authorized personnel
13
  
1
Clean clothes, hair restraints
  
TOILET AND HAND-WASHING FACILITIES
 
FOOD EQUIPMENT AND UTENSILS
14
  
2
 Food (ice) contact surfaces: designed, constructed, maintained, installed, located
*31
  
4
 Number, convenient, accessible, designed, installed
43
  
1
 Complete separation from living/sleeping quarters, laundry
32
X
2
 Toilet rooms enclosed, self-closing doors, fixtures, good repair, clean: Hand cleanser, sanitary towels/hand drying devices provided. Proper waste receptacles, tissue
15
X
1
 Non-food (ice) contact surfaces: designed, constructed, maintained, installed, located.
44
X
1
 Clean, soiled linen properly stored
 
CERTIFIED PERSONNEL
16
X
2
 Dishwashing facilities: designed, constructed, maintained, installed, located, operated
*45
     Management personnel certified Yes     No     Registered for class    
 
GARBAGE AND REFUSE DIPSOSAL
17
  
1
 Accurate thermometers, chemical test kits provided, gauge cook
33
X
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   Quat ppm                   Dishwasher Temperature   n/a °F or label
Food Temperatures:   walk in freezer -8; ham no cheese 47; ham no swiss 47; milk 38; ice cream freezer -5
 
General Comments
A follow up inspection will occur in apprx. 30 days.

A unit holding the sandwiches was emptied due to the temp of the food product being 47F. 
Report and Instructions Received By   Jessica Courville /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  12/22/2005 Time In  2:15 PM Time Out  3:50 PM Sanitation Score  70 (100 Minus Demerits)
By  Sean Guimond (Sanitarian) Adjusted Score  84  
 
Page 2 of 3

    Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   BB031  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4700171 Address  1090 MAIN ST. NW
Owner or Operator   MAC'S CONVENIENCE STORE, LLC City   BOURBONNAIS Zip Code   60914
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*20  Observed the quat spray sanitizer solution to be too weak. Provide for the quat solution to be 200 ppm for sanitizing. (750.820) Immediate/Onsite
*35  Observed both exit doors to not close properly. Provide for all openings that lead to the outside be self closing and tight fitting. (750.1170) 30 Days
*41  Observed the following toxic chemicals to be improperly stored: 1. windshield wiper fluid next to cases of cups in the storage room. moved 2. chemicals next to/above paper/styrofoam cups in the retail area. moved 3. several spray chemicals on the storage shelves with food and single service articles. moved Provide for all toxic chemicals to be stored either below or completely separate from all food, equipment, utensils, and single service articles. (750.1310) Immediate/Onsite
8  Observed cases of pop, gatorade and a case of eggs on the floor. Provide for all food products to be stored at least 6" off of the floor. (750.130) Next Inspection
15  Observed towels lining the shelves holding the pop lids and straws. Remove. (750.690) Immediate/Onsite
16  Observed the 3-compartment sink to be unclean. Please clean (750.820) Immediate/Onsite
22  Observed the inside of the ice machine to be unclean. Please clean (750.800) Next Inspection
23  Observed the following non-food contact surfaces to be unclean: 1. pop in box rack 2. outside of the ice machine 3. shelves w/icy flavoring 4. shelf above the 3-comp. sink 5. pop heads 6. cabinet w/pop drains 7. cabinet w/drink cups 8. cup dispenser 9. top of the cabinet w/icy machine 10. bottom of the gaskets of the walk in freezer display doors 11. retail shelves 12. tops of the cappuccino machines 13. cabinets below the coffee station 14. coffee lid holders 15. cabinets below the registers 16. bottled pop dispenser 17. white display tracks in the walk in cooler Please clean (750.800) Next Inspection
25  Observed cases of single service articles on the storage room floor. Provide for all singles service articles to be stored at least 6" off of the floor. (750.880) Next Inspection
32  Observed the front handwashing sink to be unclean. Please clean (750.880) Cleaned. Immediate/Onsite
33  Observed the dumpster lids to be left open. Keep the lids closed except when taking out the trash. Lids closed (750.1130) Immediate/Onsite
36  Clean the floor below the ice machine. (750.1220)Clean the walk in cooler floor. (750.1220) Next Inspection
37  Observed the restroom ceiling bents to be unclean. Please clean. (750.1220) Next Inspection
40  Observed coats being stored on single service articles and cases of food in the storage room. Provide for personal belongings to be stored in designated areas only. Coats moved. (750.1280) Immediate/Onsite
44  Observed mop and dust pan handles lying up against the shelves with the single service articles. Provide for all cleaning supplies and equipment to be stored in a manner that prevents contamination. (750.1390) Next Inspection
     
     
     
     
Report and Instructions Received By   Jessica Courville /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  12/22/2005 Time In  2:15 PM Time Out  3:50 PM Sanitation Score  70 (100 Minus Demerits)
By  Sean Guimond (Sanitarian) Adjusted Score  84  
 
Page 3 of 3

    Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   BB031  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4700171 Address  1090 MAIN ST. NW
Owner or Operator   MAC'S CONVENIENCE STORE, LLC City   BOURBONNAIS Zip Code   60914
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
Report and Instructions Received By   Jessica Courville /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  12/22/2005 Time In  2:15 PM Time Out  3:50 PM Sanitation Score  70 (100 Minus Demerits)
By  Sean Guimond (Sanitarian) Adjusted Score  84