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 #   MM026  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CIRCLE K #4700180 Address  3 S GLADIOLUS
Owner or Operator   MAC'S CONVENIENCE STORES City   MOMENCE Zip Code   60954
 
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
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
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
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
 
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     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   NO FOOD PREP AT TIME OF INSPECTION ppm                   Dishwasher Temperature   NA °F or label
Food Temperatures:   CHEDDARWURST 42, TORNADO 32, MIKL 40.5, ICE CREAM 19.5, TUNA SALAD SANDWICH 40.5, BUFFALO CHICKEN TORNADO 140, SAUSAGE 140.5, HALF-N-HALF 41, NACHO CHEESE 135
 
General Comments
HACCP CONCEPT DISCUSSED: PROPER HANDWASHING

ALL FOOD HANDLERS ARE REQUIRED TO HAVE FOOD HANDLER TRAINING BY NEXT INSPECTION (750.570) 
Report and Instructions Received By   KATHRYN S. KINNEY /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  07/28/2015 Time In  10:55 AM Time Out  12:15 PM Sanitation Score  92 (100 Minus Demerits)
By  Bryan Kennedy (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 #   MM026  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4700180 Address  3 S GLADIOLUS
Owner or Operator   MAC'S CONVENIENCE STORES City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
8  Observed the following food products to be improperly stored: 1) Boxes of candy on the floor in the back storeroom. Provide for all food products to be stored at least six inches off of the floor. (750.130) Next Inspection
15  Observed the following improper non-food contact surfaces: 1) RUST ON RACKS TO SMALL COOLER IN FOOD ISLAND 2) CHIPPED PAINT, RAW UNFINISHED WOOD ON SHELF ABOVE 3-BAY SINK 3) RAW, UNFINISHED WOOD SHELF IN STORAGE SHED Provide for all food contact surfaces to be smooth, easily cleanable, non-absorbent, corrosive resistant, and light colored. (750.690) Next Inspection
23  Observed the following contact surfaces to be unclean: 1) INSIDE OF CABINETS UNDERNEATH POLAR POP MACHINE ON SALES FLOOR CLEAN. (750.800) Next Inspection
25  Observed the following single service articles to be improperly stored: 1) cups on floor in the back storeroom and storage shed Provide for all single service articles to be stored at least six inches off of the floor in closed covered containers which protect them from contamination. (750.880) Next Inspection
36  Observed the following floor areas to be improper: 1) LACK OF COVE BASE ALONG WALL IN BACK STOREROOM 2) RAW WOOD FLOORING IN STORAGE SHED Provide for all flooring areas to be smooth, easily cleanable, non-absorbent, durable surfaces, and be maintained in good repair. (750.1200) Next Inspection
37  Observed the following wall/ceilings, and attached equipment to be improper: 1) Raw, unfinished walls and ceiling in storage shed Provide for all walls and ceilings to be smooth, easily cleanable, non-absorbent, durable, and light colored and be maintained in good repair. (750.1210) Next Inspection
42  OBSERVED MOP STORED IN WATER IN BUCKET IN BACK. STORE MOP CLEAN, SANITIZED AND HUNG TO DRY. (750.1390) Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   KATHRYN S. KINNEY /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  07/28/2015 Time In  10:55 AM Time Out  12:15 PM Sanitation Score  92 (100 Minus Demerits)
By  Bryan Kennedy (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 #   MM026  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4700180 Address  3 S GLADIOLUS
Owner or Operator   MAC'S CONVENIENCE STORES City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
     
Report and Instructions Received By   KATHRYN S. KINNEY /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  07/28/2015 Time In  10:55 AM Time Out  12:15 PM Sanitation Score  92 (100 Minus Demerits)
By  Bryan Kennedy (Sanitarian) Adjusted Score  92