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: 180 °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 |
/coolers behind service counter (2x) | 39.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
HACCP Topic: PROPER HAND WASHING PROCEDURES: WASH HAND PRIOR TO FOOD SERVICE (WASH HAND FOR 20 SECONDS WITH SOAP AND WATER) AND AFTER ANY INTERRUPTION IN THE FOOD HANDLING PROCESS. |
Person In ChargeKIMBERLY DOGGETT |
Date:05/09/2022 |
InspectorAlan Hatia |
Follow-up: Yes No Follow-up Date: |