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 #   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
 
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
X
1
Non-food contact surfaces of equipment and utensils clean
5
X
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
 
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
 
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:   MILK 41°, EGG CROISSANT 135°, NACHO CHEESE 144°, ONION 37°, SANDWICH 42°, FROZEN( ICE CREAM) 0°, HOT DOG 144°, TORNADO DOG 135°, HOT DOG 37°.
 
General Comments
HACCP CONCEPT DISCUSSED:
NEED TO HAVE ALL EMPLOYEES WHO HANDLE THE HOT FOODS TO HAVE A FOOD SANITATION LICENSE OR A FOOD HANDLER CERTIFICATE. PROVIDE COPIES OF FOOD HANDLER CERTIFICATE. THE FOLLOW-UP WILL BE REQUIRED IN 30 DAYS.
(750.570) 
Report and Instructions Received By   RON SCHMITZ /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  02/02/2017 Time In  10:40 AM Time Out  11:50 AM Sanitation Score  94 (100 Minus Demerits)
By  Hee Young Kim (Sanitarian) Adjusted Score  94  
 
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 #   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
Observed no thermometer to be available in the following units: cooler where milk is stored. Provide for an accurate, conspicuous thermometer, that is accurate within +/- 3°F, to be available in all units holding potentially hazardous foods (750.140) Next Inspection
22  Observed the following food contact surfaces to be unclean: (1) shelf in cooler where cheese is stored to have mold on it. Clean and maintain. (750.800) Next Inspection
23  Observed the following contact surfaces to be unclean: (1) Inside cabinets under the soda dispenser to be unclean with spills on it. (2) Inside cabinets where coffee creamer is stored to be unclean with some debris. (3) inside cabinet under the hand sink next to coffee machines to be unclean and soiled. (4) bottom of shelf inside cooler under the hot dog roller machines to be unclean with food debris. Clean and maintain (750.800) Next Inspection
36  Observed the following floor areas to be unclean: (1) floor under the 3 compartments sink (2) floor under the soda syrup racks Provide for all flooring areas to be in a clean condition (750.1220) Next Inspection
42  Observed the following maintenance equipment to be improperly stored: (1) a mop was stored in the bucket Provide for all maintenance equipment to be stored in a manner that will prevent contamination of food,equipment, utensils and single service articles. Store a mop to be hanging, inverted, or draped. (750.1390) Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   RON SCHMITZ /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  02/02/2017 Time In  10:40 AM Time Out  11:50 AM Sanitation Score  94 (100 Minus Demerits)
By  Hee Young Kim (Sanitarian) Adjusted Score  94  
 
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 #   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
     
Report and Instructions Received By   RON SCHMITZ /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  02/02/2017 Time In  10:40 AM Time Out  11:50 AM Sanitation Score  94 (100 Minus Demerits)
By  Hee Young Kim (Sanitarian) Adjusted Score  94