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 #   KK372  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CIRCLE K #4701388 Address  581 S INDIANA AVE
Owner or Operator   MAC'S CONVENIENCE STORES, LLC City   KANKAKEE Zip Code   60901
 
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
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
  
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
  
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
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 X 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:   WESTERN STYLE OMELET 120* TIME/TEMP OK, JUMBO HOT DOG 137, SMOKED SAUSAGE 135, MONTERAY JACK TORNADO 128*TIME/TEMP OK, ORANGE CHICKEN 136, PIZZA 0, TURKEY SANDWICH 42, MILK 38, CHOCOLATE CAKE 4
 
General Comments
HACCP CONCEPTS DISCUSSED: KEEP ALL HOT FOODS HOLDING AT 135 OR ABOVE.

PLEASE CONTACT THE HEALTH DEPARTMENT WHEN ONE EMPLOYEE HAS REGISTERED FOR THE STATE FOOD MANAGERS LICENSE CLASS FOR THIS ESTABLISHMENT.

A FOLLOW-UP WILL OCCUR IN APPROX. 15 DAYS IF NOT CALLED PRIOR. 
Report and Instructions Received By   JESSE LANE /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/18/2015 Time In  1:20 PM Time Out  2:30 PM Sanitation Score  92 (100 Minus Demerits)
By  Angela Colon (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 #   KK372  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4701388 Address  581 S INDIANA AVE
Owner or Operator   MAC'S CONVENIENCE STORES, LLC City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*45  OBSERVED AN INSUFFICIENT NUMBER OF CERTIFIED FOOD HANDLERS TO BE EMPLOYED AT THIS FACILITY. PROVIDE FOR ONE CERTIFIED FOOD HANDLER TO BE EMPLOYED, FULL TIME AT THIS ESTABLISHMENT. 750.540. 10 DAYS
8  OBSERVED THE FOLLOWING FOOD PRODUCTS TO BE IMPROPERLY STORED: CASES OF WATER IN BACK AREA BY COOLER DOOR ON FLOOR, 2) CRATE OF MILK AND SEVERAL BOTTLE BEVERAGES ON FLOOR IN WALK-IN COOLER. PROVIDE FOR ALL FOOD PRODUCTS TO BE STORED AT LEAST SIX INCHES OFF OF THE FLOOR. 750.130 NEXT INSPECTION
21  OBSERVED THE FOLLOWING WIPING CLOTH(S) TO BE IMPROPERLY STORED: ON 3-BAY SINK IN BACK. 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 SOAP AND/OR PAPER TOWELS AT THE FOLLOWING HANDSINK(S): OUT OF PAPER TOWELS IN WOMEN'S RESTROOM. PROVIDE. 750.1120. NEXT INSPECTION
33  OBSERVED THE FOLLOWING GARBAGE CONTAINERS TO BE FULL AND HAVE NO COVER(S) IN THE FOLLOWING AREAS: TRASH CAN IN BACK BY 3-BAY SINK WAS OVERFLOWING. PROVIDE FOR ALL GARBAGE CONTAINERS THAT ARE FULL AND IN FOOD PREPARATION OR UTENSILS WASHING AREA TO HAVE COVERS. 750.1130 NEXT INSPECTION
42  OBSERVED THE MOP SITTING IN THE BUCKET WITH DIRTY MOP WATER. ALL MOPS SHALL BE STORED HANGING OR INVERTED WHEN NOT IN USE. THE MOP BUCKET WATER SHALL BE CHANGED WHENEVER THE WATER GETS TOO DIRTY. 750.1390 NEXT INSPECTION
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   JESSE LANE /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/18/2015 Time In  1:20 PM Time Out  2:30 PM Sanitation Score  92 (100 Minus Demerits)
By  Angela Colon (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 #   KK372  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4701388 Address  581 S INDIANA AVE
Owner or Operator   MAC'S CONVENIENCE STORES, LLC City   KANKAKEE Zip Code   60901
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   JESSE LANE /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/18/2015 Time In  1:20 PM Time Out  2:30 PM Sanitation Score  92 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  92