Page 1 of 3

    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 #   HE024  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CASEY'S GENERAL STORE #1372 Address  290 E ROUTE 115
Owner or Operator   CASEY'S RETAIL COMPANY City   HERSCHER Zip Code   60941
 
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
X
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
 
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
  
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
  
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
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
  
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   CHLORINE 50-100, NOT SET UP AT THIS MOMENT ppm                   Dishwasher Temperature   NA °F or label
Food Temperatures:   PIZZA 135, CHICKEN 170, POTATOES 145, CHICKEN 34, 35, BURRITO 39, BEEF 31, PEPPERONI 39, MUSHROOM 39
 
General Comments
HACCP CONCEPTS DISCUSSED: KEEP ALL HAND SINKS ACCESSIBLE AT ALL TIMES SO EMPLOYEES HAVE EASY ACCESS TO WASH HANDS FOR 20-30 SECONDS. 
Report and Instructions Received By   APRIL BROWN /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  11/13/2017 Time In  12:55 PM Time Out  2:15 PM Sanitation Score  91 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  95  
 
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 #   HE024  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CASEY'S GENERAL STORE #1372 Address  290 E ROUTE 115
Owner or Operator   CASEY'S RETAIL COMPANY City   HERSCHER Zip Code   60941
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*31  OBSERVED THE FOLLOWING HAND SINK(S) TO BE INACCESSIBLE: HAND SINK WAS BLOCKED BY BUCKET LOCATED BY ICE MACHINE AND WALK-IN FREEZER. PROVIDE FOR ALL HANDSINKS TO BE ACCESSIBLE AT ALL TIMES TO ASSURE THAT PROPER HANDWASHING OCCURS. 750.1120 IMMEDIATE/ONSITE
2  OBSERVED THE FOLLOWING FOOD PRODUCTS TO HAVE IMPROPER/NO LABELING INFORMATION. THERE WAS NO LABEL ON ICING IN KITCHEN. PROVIDE FOR ALL FOODS TO HAVE PROPER LABELING INFORMATION. 750.100 NEXT INSPECTION
32  OBSERVED NO SOAP AND/OR PAPER TOWELS AT THE FOLLOWING HAND SINK(S). THERE IS NO SOAP BY HAND SINK BY FREEZER. PROVIDE FOR ALL HANDSINKS TO HAVE SUPPLY OF SOAP AND PAPER TOWELS TO ASSURE THAT PROPER HANDWASHING OCCURS. 750.1120 NEXT INSPECTION
36  OBSERVED THE FOLLOWING FLOOR AREAS TO BE UNCLEAN: 1. THERE IS DEBRIS ON THE FLOOR IN THE BEER WALK-IN COOLER. 2. THERE IS DEBRIS ON THE FLOOR IN THE WALK-IN FREEZER. PROVIDE FOR ALL FLOORING AREAS TO BE IN A CLEAN CONDITION. 750.1220 NEXT INSPECTION
37  OBSERVED THE FOLLOWING WALL/CEILINGS, AND ATTACHED EQUIPMENT TO BE UNCLEAN: THERE IS DUST ON FAN GUARDS IN WALK-IN COOLER. PROVIDE FOR ALL WALLS, CEILINGS, AND ATTACHED EQUIPMENT TO BE IN A CLEAN CONDITION. 750.1220 NEXT INSPECTION
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   APRIL BROWN /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  11/13/2017 Time In  12:55 PM Time Out  2:15 PM Sanitation Score  91 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  95  
 
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 #   HE024  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CASEY'S GENERAL STORE #1372 Address  290 E ROUTE 115
Owner or Operator   CASEY'S RETAIL COMPANY City   HERSCHER Zip Code   60941
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   APRIL BROWN /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  11/13/2017 Time In  12:55 PM Time Out  2:15 PM Sanitation Score  91 (100 Minus Demerits)
By  Steven Lamb (Sanitarian) Adjusted Score  95