Page 1 of 2

    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 #   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
  
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
X
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
X
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
X
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
X
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
  
1
 Non-food (ice) contact surfaces: designed, constructed, maintained, installed, located.
44
  
1
 Clean, soiled linen properly stored
 
CERTIFIED PERSONNEL
16
X
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 400 ppm                   Dishwasher Temperature   na °F or label
Food Temperatures:   milk 39, cooler -19
 
General Comments
A follow up will occur in 10 days for violations
HACCP: Chemical storage 
Report and Instructions Received By   Ron Schmitz /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  12/05/2006 Time In  9:15 AM Time Out  10:00 AM Sanitation Score  79 (100 Minus Demerits)
By  Janet Weldon (Sanitarian) Adjusted Score  79  
 
Page 2 of 2

    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
*31  Observed hand washing sink to be blocked *Please do not block hand sink it should be accessible at all times to ensure proper hand washing (760.1050) 10 Days
*41  Observed toxic items to be stored above paper towels and cups and many bottles to not be labeled with what chemicals is inside *Please keep toxic items separate from food and food service items (760.1390) and label all chemical bottles (760.1390) 10 Days
8  Observed beverages to be stored on the floor *Please store all food and food service items at least 6" up off of the floor (760.140) Next Inspection
16  Observed the dish washing area to be in need of cleaning *Please clean (760.720) Next Inspection
21  Observed rags to be stored improperly *Please store in sanitizer bucket when not in use (760.720) Next Inspection
22  Observed the inside of the microwave, inside the cappuccino maker, inside soda spigots *Please clean (760.700) Next Inspection
23  Observed pop in box lines, coffee counter areas tops of soda area *Please clean (760.700) Next Inspection
26  Observed a single service cup to be used to store spoons *Please use a cup that can be washed rinsed and sanitized (760.550) Next Inspection
38  Observed the lights in back to be burnt out *Please replace (760.1330) Next Inspection
42  Observed the back room to be in need of cleaning and organization *Please clean (760.1440) Next Inspection
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Ron Schmitz /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  12/05/2006 Time In  9:15 AM Time Out  10:00 AM Sanitation Score  79 (100 Minus Demerits)
By  Janet Weldon (Sanitarian) Adjusted Score  79