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 #   MA018  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CIRCLE K #4700183 Address  29 S LOCUST
Owner or Operator   MAC'S CONVENIENCE STORES City   MANTENO Zip Code   60950
 
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
  
4
 Sanitization rinse: Clean, temperature, concentration   INSECT, RODENT ANIMAL CONTROL
 
FOOD PROTECTION
*35
  
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
  
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
  
1
 Rooms clean, lockers provided, facilities clean
 
PERSONNEL
  
PLUMBING
  
OTHER OPERATIONS
*11
  
5
 Personnel with infections restricted
29
  
1
 Installed, maintained
*41
  
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
 
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
  
1
 Clean, soiled linen properly stored
 
CERTIFIED PERSONNEL
16
  
2
 Dishwashing facilities: designed, constructed, maintained, installed, located, operated
*45
     Management personnel certified Yes X No     Registered for class    
 
GARBAGE AND REFUSE DIPSOSAL
17
  
1
 Accurate thermometers, chemical test kits provided, gauge cook
33
  
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   quat 200-400 ppm                   Dishwasher Temperature   °F or label
Food Temperatures:   freezers -8, coolers 36-40
 
General Comments
No follow up is needed at this time
HACCP: storage of chemicals 
Report and Instructions Received By   Joseph Schreiber /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/23/2006 Time In  8:50 AM Time Out  10:00 AM Sanitation Score  92 (100 Minus Demerits)
By  Janet Weldon (Sanitarian) Adjusted Score  92  
 
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 #   MA018  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4700183 Address  29 S LOCUST
Owner or Operator   MAC'S CONVENIENCE STORES City   MANTENO Zip Code   60950
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
8  Observed beverages and canned sauces to be stored on the floors throughout facility *Please store beverage and food items @ least 6" up off of the floor Next Inspection
15  Observed the following non-food contact surfaces to be improper: 1. Broken chocolate cream creamer plastic container 2. torn gasket ice cream cake freezer 3. broken plastic inside front dilly bar freezer 4. remove card board from shelves in walk in cooler 5. rusting/paint chipping on shelves in walk in cooler *please repair replace paint seal (750.690) Next Inspection
22  Observed the soda gun spigots and inside cappuccino maker to be in need of cleaning *Please clean (750.800) Next Inspection
23  Observed the following non-food contact surfaces to be in need of cleaning: 1. inside bottoms of all door coolers 2. white shelves with candy and dq stuff across from hand sink 3. inside dq freezer next to sauces 4. outside flavor packet containers 5. shelves in dq back area (dust) 6. white shelves in dq walk in freezer 7. under candy containers display front dq 8. shelves by register counter dq 9. tops of coffee makers 10. shelves by and with cleaners (back room) *Please clean (750.800) Next Inspection
36  Observed floors in walk in coolers freezers to be in need of cleaning *Please clean (750.1220) Next Inspection
37  Observed wall around 3 bay sink, fan vents walk in coolers and restrooms to be in need of cleaning Observed missing area of baseboard in dq and walls around walk in cooler and backroom to be in need of repair *Please repair Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Joseph Schreiber /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/23/2006 Time In  8:50 AM Time Out  10:00 AM Sanitation Score  92 (100 Minus Demerits)
By  Janet Weldon (Sanitarian) Adjusted Score  92  
 
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 #   MA018  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4700183 Address  29 S LOCUST
Owner or Operator   MAC'S CONVENIENCE STORES City   MANTENO Zip Code   60950
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
     
Report and Instructions Received By   Joseph Schreiber /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/23/2006 Time In  8:50 AM Time Out  10:00 AM Sanitation Score  92 (100 Minus Demerits)
By  Janet Weldon (Sanitarian) Adjusted Score  92