Food Establishment Inspection Report |
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FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS |
Circle designated compliance status (IN, OUT, N/O, N/A) for each numbered item IN=in compliance OUT=not in compliance N/O=not observed N/A=not applicable Mark "X" in appropriate box for COS and/or R COS=corrected on-site during inspection R=repeat violation |
Risk factors are important practices or procedures identified as the most prevalent contributing factors of foodborne illness or injury. Public health interventions are control measures to prevent foodborne illness or injury. |
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GOOD RETAIL PRACTICES |
Good Retail Practices are preventative measures to control the addition of pathogens, chemicals, and physical objects into foods. Mark "X" in appropriate box for COS and/or R COS=corrected on site during inspectionR=repeat violation |
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IOCI 17-356
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Food Establishment Inspection Report |
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Establishments: CIRCLE K #4700177 | Establishment #: KK179 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: QUAT 200 | Heat: NA °F |
CFPM Verification (name, ID#, expiration date): | |||
MARY HASS 23917079 04/27/2028 |
SANDRA ROOF 25703841 05/16/2029 |
JAMES HOLMES 20092163 12/21/2025 |
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TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
Milk /milk cooler | 40.00°F | sandwich/open front sandwich cooler | 39.00°F | 1/2 & 1/2/counter dispensor | 39.00°F |
freezer items/all freezers | 15.00°F | cheddar tornados/roller | 144.00°F | sausage, cheddarwurst/roller | 155.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
10 | C |
6-301.14: A sign or poster that notifies FOOD EMPLOYEES to wash their hands shall be provided at all HANDWASHING SINKS used by FOOD EMPLOYEES and shall be clearly visible to FOOD EMPLOYEES. No hand washing signs are posted on any hand sinks. Provide signage by next routine inspection. |
10 | PF |
6-301.12 (A-D): Each HANDWASHING SINK or group of adjacent HANDWASHING SINKS shall be provided with:
(A) Individual, disposable towels; (B) A continuous towel system that supplies the user with a clean towel; or (C) A heated-air hand drying device; or (D) A hand drying device that employs an air-knife system that delivers high velocity, pressurized air at ambient temperatures. Observed no paper towels in the men's room. COS - COS (Correct By: Aug 26, 2019) |
28 | P |
7-201.11: POISONOUS OR TOXIC MATERIALS shall be stored so they can not contaminate FOOD, EQUIPMENT, UTENSILS, LINENS, and SINGLE SERVICE and SINGLE-USE ARTICLES by: (A) Separating the POISONOUS OR TOXIC MATERIALS by spacing or partitioning; and (B) Locating the POISONOUS OR TOXIC MATERIALS in an area that is not above FOOD, EQUIPMENT, UTENSILS, LINENS, and SINGLE-SERVICE or SINGLE-USE ARTICLES. This paragraph does not apply to EQUIPMENT and UTENSIL cleaners and SANITIZERS that are stored in WAREWASHING areas for availability and convenience if the materials are stored to prevent contamination of FOOD, EQUIPMENT, UTENSILS, LINENS, and SINGLE-SERVICE and SINGLE-USE ARTICLES. Observed Espresso machine cleaning chemicals are next to single use utensils. COS - COS (Correct By: Aug 26, 2019) |
36 | PF |
4-203.12: (A) Ambient air and water TEMPERATURE MEASURING DEVICES that are scaled in Celsius or dually scaled in Celsius and Fahrenheit shall be designed to be easily readable and accurate to ±1.5°C in the intended range of use.
(B) Ambient air and water TEMPERATURE MEASURING DEVICES that are scaled only in Fahrenheit shall be accurate to ±3°F in the intended range of use. Observed cooler thermometer pushed to the back and unreadable. COS - COS (Correct By: Aug 26, 2019) |
38 | C |
6-501.111 (A) (B) (D): The PREMISES shall be maintained free of insects, rodents, and other pests. The presence of insects, rodents, and other pests shall be controlled to eliminate their presence on the PREMISES by:
(A) Routinely inspecting incoming shipments of FOOD and supplies;
(B) Routinely inspecting the PREMISES for evidence of pests;
(D) Eliminating harborage conditions. Observed open package of popcorn from rodent biting and opening bag. Pest control had been alerted the previous week. Clean and maintain by next routine inspection. |
47 | C |
4-501.11 (A): (A) EQUIPMENT shall be maintained in a state of repair and condition that meets the requirements specified under Parts 4-1 and 4-2. Observed broken equipment the following; 1. Polar Pop overhead stripping 2. Doors on the doughnuts. Repair and maintain by next routine inspection |
49 | C |
4-601.11(C): (C) NonFOOD-CONTACT SURFACES of EQUIPMENT shall be kept free of an accumulation of dust, dirt, FOOD residue, and other debris. Observed dirt and debris on the following: 1. garbage cupboard under the relish area 2. under the polar pop cup area under the dispensors 3. tray under the 1/2 and 1/2 4. inside walk-in cooler around the fans |
55 | C |
6-501.12: (A)PHYSICAL FACILITIES shall be cleaned as often as necessary to keep them clean.(B)Except for cleaning that is necessary due to a spill or other accident, cleaning shall be done during periods when the least amount of FOOD is exposed such as after closing. Observed soda syrup on the floor in front of the soda syrup containers in back. Clean and maintain for next routine inspection. |
HACCP Topic: PROPER HANDWASHING IS THE FIRST LINE OF DEFENSE AGAINST FOOD BORNE ILLNESS. |
Person In Charge |
Date:08/26/2019 |
InspectorJulie Larsen |
Follow-up: Yes No Follow-up Date: |