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 #   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
  
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
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
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
X
5
 Toxic items properly stored, labeled and used
*12
X
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
  
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 X No     Registered for class    
 
GARBAGE AND REFUSE DIPSOSAL
17
  
1
 Accurate thermometers, chemical test kits provided, gauge cook
33
X
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   QUATERNARY AMMONIA: 200 ppm                   Dishwasher Temperature   N/A °F or label
Food Temperatures:   CUT STEAK PIECES: 37 F, SMOKED HAM: 37 F, OLIVES: 37 F, PEPPERONI PIZZA TOPPINGS: 36 F, SAUSAGE PATTIES: -10 F, COOKED PIZZA: 150 F
 
General Comments
HACCP: SANITIZER CONCENTRATION LEVELS - QUATERNARY AMMONIA: 200 PPM; CHLORINE: 50 PPM 
Report and Instructions Received By   VALERIE GROSS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/09/2017 Time In  10:15 AM Time Out  11:40 AM Sanitation Score  81 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  81  
 
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
*12  Observed an employee drink located on the prep table where desert toppings are stored. The consumption of food/drink shall be done in a designated area only. 750.530 Immediate/Onsite
*41  Observed bleach and other chemical cleaning solutions to be stored next to single-service articles (plastic cups) and several boxes of soda cans within the back storage area located next to the "Fountain" section of the store. Provide for all food, equipment, utensils, and single service articles to be stored either above or completely separate for all toxic chemicals. 750.1310 Immediate/Onsite
5  Observed no thermometer to be available in the following units: (1) walk-in cooler in the retail section and (2) the cooling unit located on the retail floor. 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
8  Observed the following food products to be improperly stored: (1) a package of shredded cheese located in the walk-in cooler located in the kitchen area, (2) box of Toufayou Tortilla shells located in the walk-in freezer located in the kitchen area, and (3) box of desserts located in the walk-in freezer located in the retail section. Provide for all food products to be stored at least six inches off of the floor. 750.130 Next Inspection
15  observed rust on the storage rack next to the 3 compartment sink. Provide for all food contact surfaces to be smooth, easily cleanable, non-absorbent, corrosive resistant, and light colored. 750.690 Next Inspection
23  Observed (1) excessive food debris within the "Lincoln" heating unit food catch tray and (2) grease stains on the right hand side of its exterior. Clean and maintain. 750.800 Next Inspection
25  Observed packages of pizza boxes stored on the floor next to the near the "Lincoln" heating unit located in the kitchen. 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
33  Observed the dumpster lid to be broken resulting in a large opening. Fix and ensure garbage containers are not accessible to any pests. 750.1140 Next Inspection
36  Observed the following floor areas to be unclean: (1) under the detergents and sanitizer located next to the 3 compartment sink, and (2) under the milk storage shelves within the walk-in cooler in the retail section. Provide for all flooring areas to be in a clean condition. 750.1220 Next Inspection
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   VALERIE GROSS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/09/2017 Time In  10:15 AM Time Out  11:40 AM Sanitation Score  81 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  81  
 
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 GROSS /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  05/09/2017 Time In  10:15 AM Time Out  11:40 AM Sanitation Score  81 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  81