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: GORDON FOOD SERVICE STORE, LLC | Establishment #: BR075 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: QUAT 200 | Heat: N/A °F |
CFPM Verification (name, ID#, expiration date): | |||
MELANIE LATHAM 1131F4J3EC75I 02/11/2027 |
01/01/1900 |
01/01/1900 |
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TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
lettuce | 35.00°F | pasta | 35.00°F | bologna | 40.00°F |
hot dogs | 39.00°F | milk | 40.00°F | chicken salad | 39.00°F |
peas | 0.00°F | tamales | 0.00°F | pie crust | 0.00°F |
chicken parmesan | 0.00°F | eggs | 41.00°F | pork shoulder | 38.00°F |
guacamole | 40.00°F | ribs | 42.00°F | sausage | 40.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
55 | C |
6-501.16: After use, mops shall be placed in a position that allows them to air-dry without soiling walls, EQUIPMENT, or supplies. Observed mop left on the floor in the walk-in cooler. PRovide for the mop to be placed back into proper storage. - COS (Correct By: Sep 2, 2022) |
HACCP Topic: REMEMBER TO CHECK THE SANITIZER CHEMICAL TO ENSURE THERE IS ALWAYS ENOUGH CHEMICAL TO MAKE THE SOLUTION. |
Person In ChargeMASON / MICHAEL |
Date:09/02/2022 |
InspectorAngela Colon |
Follow-up: Yes No Follow-up Date: |