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 |
Tornado/Prep cooler | 37.00°F | Creamer/Creamer dispenser | 40.00°F | Sausage/Walk-in cooler | 38.00°F |
/Milk cooler | 40.00°F | /Open air cooler | 37.00°F | /Orange juice cooler | 41.00°F |
/Ice cream freezer | 0.00°F | /3 back room freezers | 0.00°F | Sausage/Roller grill | 151.00°F |
Eggroll/Hot holding unit | 155.00°F | Cheeseburger/Hot holding unit | 163.00°F | Cheeseburger/Hot holding unit | 177.00°F |
Pizza/Pizza warmer | 140.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
44 | C |
4-903.11 (A)(1)(2)(3): (A) Except as specified in ΒΆ (D) of this section, cleaned EQUIPMENT and UTENSILS, laundered LINENS, and SINGLE-SERVICE and SINGLE-USE ARTICLES shall be stored:
(1) In a clean, dry location;
(2) Where they are not exposed to splash, dust, or other contamination; and
(3) At least 15 cm (6 inches) above the floor. Single use cups were stored on the floor in the outside storage shed. Store all single use items 6" above the floor and maintain by the next routine inspection. Repeat |
54 | C |
5-501.11: An outdoor storage surface for REFUSE, recyclables, and returnables shall be constructed of nonabsorbent material such as concrete or asphalt and shall be SMOOTH, durable, and sloped to drain. The dumpster is seated on gravel. Place the dumpster on a smooth concrete or asphalt surface and maintain by the next routine inspection. |
Inspection Comments |
POST YOUR 2022 KCHD LICENSE IN A CONSPICUOUS PLACE.
NEW EMPLOYEE WILL SIGN 1B FORM DURING ORIENTATION THIS WEEK. |
HACCP Topic: PROPER HOT HOLDING TEMPERATURES. |
Person In ChargeRENEE STEPHENS |
Date:02/10/2022 |
InspectorDANA JAMES |
Follow-up: Yes No Follow-up Date: |