Page 1 of 2

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 #   SA023  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  PINNACLE GAS, INC Address  2690 S 13000 E RD
Owner or Operator   OUSEPH, MATHEW City   PEMBROKE TOWNSHIP Zip Code   60958
 
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
 
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
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
 
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
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     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   Kitchen not in use at time of inspection ppm                   Dishwasher Temperature   n/a °F or label
Food Temperatures:   eggs 40; pizza 15; ice cream 8; polish dogs 46* chicken 21
 
General Comments
No follow up required. 
Report and Instructions Received By   David Dortch /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  06/05/2008 Time In  10:15 AM Time Out  12:30 PM Sanitation Score  88 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  88  
 
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 #   SA023  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  PINNACLE GAS, INC Address  2690 S 13000 E RD
Owner or Operator   OUSEPH, MATHEW City   PEMBROKE TOWNSHIP Zip Code   60958
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Observed various beverage stored on floor in storage, walk in cooler and store. Please store 6" off the floor. (760.140) Next Inspection
15  Observed heavy frost and ice build up on 3-door cooler and ice cream freezer. Please defrost. (760.620) Next Inspection
22  Observed cappuccino and inside of microwave in need of cleaning. Please clean. (760.700) Next Inspection
23  Observed the following non-food contact surfaces in need of cleaning: (760.700) 1. store shelves in back room and store, 2. ice cream freezer, 3. all plastic pop stands, 4. inside of cabinets, 5. inside creamer holders, 6. counter. Next Inspection
32  Observed sinks and toilets in need of cleaning in both restrooms; no paper towels in public restroom; employee sink not adhered to wall. Please clean and repair sink. (760.1030/1080) Next Inspection
36  Observed floors throughout facility in need of cleaning. Please clean. (760.1200) Next Inspection
37  Observed walls and ceiling vents in both restrooms in need of cleaning. Please clean. (760.1260) Next Inspection
38  Observed light shields in back room and restrooms in need of cleaning. Please clean. (760.1340) Next Inspection
42  Observed mop bucket and mop in need of cleaning. Please keep clean. (760.1480) Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   David Dortch /  
 
(Please Print)
 
(Signature of Owner or Representative)
Date  06/05/2008 Time In  10:15 AM Time Out  12:30 PM Sanitation Score  88 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  88