Page 1 of 3

    Food Service Establishment
X 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 #   MA086  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CASEY'S GENERAL STORE #3402 Address  111 MARQUETTE PL S
Owner or Operator   CASEY'S RETAIL COMPANY 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
X
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
 
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
  
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
X
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 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   NA °F or label
Food Temperatures:   TACO MEAT 161, CHICKEN 166, PORK 159, BEEF 36, PEPPERONI 29, SAUSAGE 31, MARINERA 36, BURRITO 36, CHEESE 38, HAM 35, ROAST BEEF 36, BACON 37, BOLOGNA 38,PEPPER JACK 36, CHEESE 37, MAYO 44, BBQ BEEF 159
 
General Comments
HACCP CONCEPTS DISCUSSED: KEEP HAND SINK ACCESSIBLE AT ALL TIMES SO EMPLOYEES CAN WASH THEIR HANDS. 
Report and Instructions Received By   VALERIE /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  07/28/2015 Time In  2:10 PM Time Out  3:30 PM Sanitation Score  89 (100 Minus Demerits)
By  Steven Lamb (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 #   MA086  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CASEY'S GENERAL STORE #3402 Address  111 MARQUETTE PL S
Owner or Operator   CASEY'S RETAIL COMPANY City   MANTENO Zip Code   60950
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*31  Observed the following hand sink(s) to be inaccessible: Bags of flour was blocked at hand sink. Provide for all handsinks to be accessible at all times to assure that proper handwashing occurs. Bags were removed. 750.1120 Immediate/Onsite
2  Observed the following food products to have improper/no labeling information. There is no label on icing or sprinkles etc. Provide for all foods to have proper labeling information. 750.140 Next Inspection
8  Observed the following food products to be improperly stored. 1. Ice found on packages of food in walk-in freezer. 2. Box's of food found on the floor in the walk-in freezer. 3. Bag of coke on the floor in back dry storage room.Provide for all food products to be stored at least six inches off of the floor. 750.130 Next Inspection
22  Observed the following food contact surfaces to be unclean. Ice on shelves in the walk-in freezer. Clean and maintain. 750.800 Next Inspection
32  Observed no soap and/or paper towels at the following hand sink(s). 1. There is no soap at hand sink in kitchen. 2. No soap in dispenser at back hand sink by ice machine. Provide for all handsinks to have supply of soap and paper towels to assure that proper handwashing occurs. 750.1120 Next Inspection
36  Observed the following floor areas to be unclean: Ice & debris on the floor in both walk-in freezers. Provide for all flooring areas to be in a clean condition. 750.1220 Next Inspection
37  Observed the following wall/ceilings, and attached equipment to be unclean: Filters above pizza oven has dust and debris in them. Provide for all walls, ceilings, and attached equipment to be in a clean condition. 750.1220 Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   VALERIE /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  07/28/2015 Time In  2:10 PM Time Out  3:30 PM Sanitation Score  89 (100 Minus Demerits)
By  Steven Lamb (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 #   MA086  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CASEY'S GENERAL STORE #3402 Address  111 MARQUETTE PL S
Owner or Operator   CASEY'S RETAIL COMPANY City   MANTENO Zip Code   60950
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   VALERIE /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  07/28/2015 Time In  2:10 PM Time Out  3:30 PM Sanitation Score  89 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  93