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: UNCOMMON GROUNDS AT THE PAVILION | Establishment #: KK098 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: QUAT: 400 | Heat: 180F °F |
CFPM Verification (name, ID#, expiration date): | |||
01/01/1900 |
01/01/1900 |
01/01/1900 |
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TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
/mini cooler | 39.00°F | /stand-up cooler | 40.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
Inspection Comments | ENSURE THAT A MASK IS WORN BY ALL EMPLOYEES AT ALL TIMES. |
HACCP Topic: ENSURE THAT ALL QUAT SANITIZER IS PREPARED AT A CONCENTRATION THAT CONTAINS 200 PPM - 400 PPM OF QUATERNARY AMMONIUM SOLUTION. |
Person In ChargeJENNIFER JORDAN |
Date:11/13/2020 |
InspectorAlan Hatia |
Follow-up: Yes No Follow-up Date: |