Food Establishment Inspection Report
Page 1  of ????????? 
KANKAKEE COUNTY HEALTH DEPARTMENT
 2390 W. Station Street
Kankakee, IL 60901
Phone: (815) 802 - 9410
Establishment
 DAIRY QUEEN ON MAPLE 		License/Permit #
 KK036
Street Address
1700 E MAPLE ST
City/State
 KANKAKEE, IL 		ZIP Code
 60901
No. of Risk Factor/Intervention Violations 0
No. of Repeat Risk Factor/Intervention Violations 0
Date 09/11/1900
Time In 01:00 PM
Time Out 02:10 PM
Permit Holder
NOBLE STORES, LLC 		Risk Category
M
Purpose of Inspection
ORIGINAL INSPECTION

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.
Compliance Status
 COS R
Compliance Status
 COS R

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 inspection  
R
=repeat violation  
Compliance Status
 COS R
Compliance Status
 COS R
IOCI 17-356

Food Establishment Inspection Report
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Establishments: DAIRY QUEEN ON MAPLE Establishment #: KK036
Water Supply:   Public Private   Waste Water System:   Public Private
Sanitizer Type: Chemical PPM: CHLORINE 100 Heat: NA °F
CFPM Verification (name, ID#, expiration date):
EMILY LEBEAU
24790859
11/10/2028

01/01/1900

01/01/1900

 

TEMPERATURE OBSERVATIONS
Item/Location
Temp
Item/Location
Temp
Item/Location
Temp
pink frosting/walk-in 37.00°F all/all units 0.00°F  

OBSERVATIONS AND CORRECTIVE ACTIONS
Item
Number 		Severity Violations cited in this report must be corrected within the time frames below.
HACCP Topic: USING SANITIZER AT TOO HIGH OF A BLEACH CONCENTRATION MAKES A TOXIC SITUATION FOR WIPING DOWN COUNTERS AND UTENSILS.
 

Person In Charge

  PAIGE BURGARD 		 

Date:

  09/11/1900
 

Inspector

  Julie Larsen 		 

Follow-up:  Yes   No   Follow-up Date:

10/12/2020