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 #   AP010  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CIRCLE K #4700178 Address  3304 WALDRON RD
Owner or Operator   MAC'S CONVENIENCE STORES City   AROMA PARK Zip Code   60910
 
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
  
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
  
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
  
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
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
  
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 ppm                   Dishwasher Temperature   N/A °F or label
Food Temperatures:   CREAMER 41, PHILLY STEAK SANDWICH 42, TORNADO DOGS 137-130 TIME TEMP OK REHEATED TO BE SAFE, NACHO CHEESE 136, ICED COFFEE 42, MILK 42, ICE CREAM 0, PIZZA 0
 
General Comments
HACCP CONCEPT DISCUSSED: PROPER HAND WASHING TECHNIQUES, HAVE BOTH SOAP AND PAPER TOWELS AVAILABLE AT EVERY HAND SINK.

ESTABLISHMENT MUST HAVE ALL EMPLOYEES NOT HOLDING A FOOD SANITATION LICENSE TO BE CERTIFIED WITH THE FOOD HANDLER CERTIFICATE BY NEXT INSPECTION. 750.570. 
Report and Instructions Received By   JAYMIE MONAHAN /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/25/2016 Time In  9:50 AM Time Out  11:10 AM Sanitation Score  93 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  93  
 
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 #   AP010  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4700178 Address  3304 WALDRON RD
Owner or Operator   MAC'S CONVENIENCE STORES City   AROMA PARK Zip Code   60910
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
8  Observed the following food products to be improperly stored: Box of soda syrup on floor in back room. Store all food products off of the floor. 750.120 Next Inspection
15  Observed the following improper non-food contact surfaces: shelves where coffee filters are stored. Provide for all surfaces where food and food equipment are to be stored to be smooth, easily cleanable and non-absorbent. 750.690. Next Inspection
25  Observed the following single service articles to be improperly stored: 1) Hot food to go containers stored with food surface exposed, 2) Box of foal cups stored on floor by frozen foods. Store all single service articles in a manor that will protect them from contamination. 750.880 Next Inspection
32  Observed no soap and/or paper towels at the following handsink(s) Soap dispenser to hand sink in back was out of soap. Refill. 750.1120 Next Inspection
36  Observed the following floor areas to be in poor repair: Floor in walk in cooler is rusty. Provide for all floors to be smooth easily cleanable and non-absorbent. 750.1200 Observed the following floor areas to be unclean: Cement floor in back storage room. Clean. 750.1220. Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   JAYMIE MONAHAN /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/25/2016 Time In  9:50 AM Time Out  11:10 AM Sanitation Score  93 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  93  
 
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 #   AP010  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4700178 Address  3304 WALDRON RD
Owner or Operator   MAC'S CONVENIENCE STORES City   AROMA PARK Zip Code   60910
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   JAYMIE MONAHAN /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  02/25/2016 Time In  9:50 AM Time Out  11:10 AM Sanitation Score  93 (100 Minus Demerits)
By  Angela Colon (Sanitarian) Adjusted Score  93