Page 1 of 3

X 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 #   BR054  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CIRCLE K #4700175 Address  196 S KINZIE
Owner or Operator   MAC'S CONVENIENCE STORES City   BRADLEY Zip Code   60915
 
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
  
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
X
1
 Wiping cloths: clean, use restricted
22
  
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
 
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
X
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
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
X
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
  
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     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 ppm                   Dishwasher Temperature   N/A °F or label
Food Temperatures:   NACHO CHEESE 135°, JUMBO DOG 160°, SAUERKRAUT 30°, BUFFY DOG 151°, FREEZER 0°, FRESH SANDWICH COOLER 33°, MILK SHAKE COOLER 0°,LUNCHABLES 41°, WALK-IN 36°.
 
General Comments
 
Report and Instructions Received By   RON SCHMITZ /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/10/2015 Time In  2:15 PM Time Out  4:15 PM Sanitation Score  82 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  91  
 
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 #   BR054  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4700175 Address  196 S KINZIE
Owner or Operator   MAC'S CONVENIENCE STORES City   BRADLEY Zip Code   60915
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*20  Observed the sanitizer solution too weak. Sanitizer solution for quat shall be around 400ppm for rinsing, swabbing or spraying of equipment to large for sanitizing by submersion.750.820. Immediate/Onsite
*41  Observed the following toxic items stored improperly: 1) detergent on shelf near cereal 2) cleaning equipment other than dishwashing chemicals above 3 compartment sink. Keep all toxic items separate from food and food areas. 750.1310 Immediate/Onsite
8  Observed the following food items stored improperly: 1)Cases of water in walk-in cooler and in back storage area on floor, 2)Gatorade on floor in walk-in cooler, 3)liters of soda stored on floor in retail area, 4)Fiji case of water in walk-in on floor. All food items shall be stored 6 inches off floor. 750.130. Next Inspection
21  Observed the following wiping cloth(s) to be improperly stored: on counters near soda and coffee stations. Provide for all wiping cloths to be stored completely submerged in an approved sanitizer solution while not being used.750.810 Next Inspection
32  Observed no toilet paper in men's restroom. Provide toilet paper for all restrooms.750.1110. Observed no paper towels near hand sink in back room. Provide paper towels. 750.1120. Next Inspection
36  Observed the following floor areas to be in need of repair: 1)Walk-in cooler ramp, 2)cracked tile floor by toilet paper stock. Repair ramp and repair or replace floor tile. 750.1200. Observed the following floor areas to be unclean:1) by mop sink area, 2) by 3 compartment sink. Keep floors clean.750.1220. Next Inspection
37  Obseved the following wall/ceilings, and attached equipment to be unclean: vent covers in bathrooms. Provide for all walls, ceilings, and attached equipment to be in a clean condition. 750.1210. Next Inspection
38  Found lighting in freezer to not be working. Replace bulb. 750.1230. Observed one side of the light to be missing an end cap on light above sandwich cooler. Provide the end cap.750.1240 Next Inspection
42  Mop found to be stored improperly. All mops shall be stored hanging or inverted to retard bacterial growth. Store hanging or inverted when not in use. 750.1390. Next Inspection
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   RON SCHMITZ /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/10/2015 Time In  2:15 PM Time Out  4:15 PM Sanitation Score  82 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  91  
 
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 #   BR054  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4700175 Address  196 S KINZIE
Owner or Operator   MAC'S CONVENIENCE STORES City   BRADLEY Zip Code   60915
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
Report and Instructions Received By   RON SCHMITZ /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/10/2015 Time In  2:15 PM Time Out  4:15 PM Sanitation Score  82 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  91