Page 1 of 3

X Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   MM026  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CIRCLE K #4700180 Address  3 S GLADIOLUS
Owner or Operator   MAC'S CONVENIENCE STORES City   MOMENCE Zip Code   60954
 
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
 
FOOD
18
 
1
 Pre-flushed, scraped, soaked
34
  
1
 Outside storage area, enclosures properly constructed, clean: controlled incineration
*1
  
5
 Source, Wholesome, No Spoilage
19
  
2
 Wash, rinse after: clean, proper temperature
2
  
1
 Original Container, Properly Labeled
*20
  
4
 Sanitization rinse: Clean, temperature, concentration   INSECT, RODENT ANIMAL CONTROL
 
FOOD PROTECTION
*35
  
4
 Presence of insects/rodents - outer openings protected; no birds, turtles, or other animals
*3
  
5
 Potentially hazardous food meets temperature requirements during storage, preparation, display, service and transportation
21
  
1
 Wiping cloths: clean, use restricted
22
X
2
 Food contact surfaces of equipment and utensils clean, free of abrasives and detergents  
FLOORS WALLS AND CEILINGS
36
X
1
 Floor: constructed, drained, clean, good repair, covering installation, dustless cleaning methods
*4
  
4
 Facilities to maintain product temperature
23
X
1
 Non-food contact surfaces of equipment and utensils clean
5
X
1
 Thermometers provided and conspicuous
37
X
1
 Walls, ceiling, attached equipment: constructed good repair, clean surfaces, dustless cleaning methods
6
 
2
 Potentially hazardous food properly thawed
24
  
1
 Storage, handling of clean equipment utensils
*7
  
4
 Unwrapped and potentially hazardous food not re-served, Cross Contamination
25
  
1
 Single-service articles, storage, dispensing  
LIGHTING
26
  
2
 No re-use of single-service articles
38
X
1
 Lighting provided as required - Fixtures shielded
8
X
2
 Food protection during storage, preparation, display, service and transportation  
WATER
  
VENTILATION
*27
 
5
 Water source, safe: Hot and cold under pressure
39
  
1
 Rooms and equipment - vented as required
9
  
2
 Handling of food(ice) minimized, methods  
SEWAGE
  
DRESSING ROOMS
10
  
1
 Food(ice) dispensing utensils properly stored
*28
  
4
 Sewage and waste water disposal
40
  
1
 Rooms clean, lockers provided, facilities clean
 
PERSONNEL
  
PLUMBING
  
OTHER OPERATIONS
*11
  
5
 Personnel with infections restricted
29
  
1
 Installed, maintained
*41
  
5
 Toxic items properly stored, labeled and used
*12
  
5
 Hands washed and clean, good hygienic practices
*30
 
5
 Cross-connection, back siphonage-backflow
42
X
1
 Premises: maintained, free of litter, unnecessary articles, cleaning/maintenance equipment properly stored, authorized personnel
13
  
1
Clean clothes, hair restraints
  
TOILET AND HAND-WASHING FACILITIES
 
FOOD EQUIPMENT AND UTENSILS
14
  
2
 Food (ice) contact surfaces: designed, constructed, maintained, installed, located
*31
  
4
 Number, convenient, accessible, designed, installed
43
  
1
 Complete separation from living/sleeping quarters, laundry
32
X
2
 Toilet rooms enclosed, self-closing doors, fixtures, good repair, clean: Hand cleanser, sanitary towels/hand drying devices provided. Proper waste receptacles, tissue
15
X
1
 Non-food (ice) contact surfaces: designed, constructed, maintained, installed, located.
44
  
1
 Clean, soiled linen properly stored
 
CERTIFIED PERSONNEL
16
  
2
 Dishwashing facilities: designed, constructed, maintained, installed, located, operated
*45
     Management personnel certified Yes     No     Registered for class    
 
GARBAGE AND REFUSE DIPSOSAL
17
  
1
 Accurate thermometers, chemical test kits provided, gauge cook
33
  
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   n/a ppm                   Dishwasher Temperature   n/a °F or label
Food Temperatures:   milk 38; pizza 8; egg roll 115* time/temp o.k.; chicken tornado 130* time/temp o.k.; steak & cheese tornado 135; cheese smokie link 148; moz. quik stick 152; hot dogs 39, 143; cheese & sausage biscuit 140; Landshire subs 39; bacon, egg & cheese biscuit 135; half n half 38; ice cream 10
 
General Comments
No follow up required. 
Report and Instructions Received By   Marada /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/09/2009 Time In  1:00 PM Time Out  1:45 PM Sanitation Score  87 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  87  
 
Page 2 of 3

    Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   MM026  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4700180 Address  3 S GLADIOLUS
Owner or Operator   MAC'S CONVENIENCE STORES City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
5  OBSERVED NO THERMOMETER INSIDE OF HAAGEN DAZ ICE CREAM FREEZER. PLEASE PROVIDE AN ACCURATE THERMOMETER WITHIN +/- 2 DEGREES IN ALL FREEZING UNITS THAT HOLD ANY POTENTIALLY HAZARDOUS FOODS. (760.150) NEXT INSPECTION
8  OBSERVED VARIOUS BEVERAGES STORED ON THE FLOOR IN THE WALK IN COOLERS, STORE ROOM AND STORE. PLEASE STORE 6" OFF THE FLOOR AT ALL TIMES. (760.140) NEXT INSPECTION
15  OBSERVED THE FOLLOWING NON-FOOD CONTACT SURFACES TO BE IMPROPER: 1. TORN GASKET ON DOOR IN FRONT OF JUICE (WALL COOLERS), 2. TORN, MISSING BLACK MOLDING ON INSIDE LOWER LEDGES OF STORE WALL COOLERS, 3. CHIPPED PAINT ON RACKS INSIDE OF KRISPY CREME DISPLAY CASE. PLEASE REPAIR, REPAINT OR REPLACE. (760.500) NEXT INSPECTION
22  OBSERVED THE FOLLOWING FOOD CONTACT SURFACES IN NEED OF CLEANING: 1. POP SPIGOTS, 2. INSIDE CAPPUCCINO MACHINES. PLEASE CLEAN. (760.700) NEXT INSPECTION
23  OBSERVED THE FOLLOWING NON-FOOD CONTACT SURFACES IN NEED OF CLEANING: 1. POP RACKS AND LINES IN BACK, 2. METAL RACKS IN BACK, 3. STORE SHELVES, 4. INSIDE STORE CABINETS, 5. INSIDE INDIVIDUALLY PACKAGED CREAMERS ON CONDIMENT ISLAND. PLEASE CLEAN. (760.700) NEXT INSPECTION
32  OBSERVED TOILET AND URINAL IN MEN'S RESTROOM IN NEED OF CLEANING; OBSERVED STRONG URINE SMELL IN MEN'S RESTROOM. PLEASE CLEAN PROPERLY. (760.1040) NEXT INSPECTION
36  OBSERVED MISSING OR NO COVE BASE ALONG WALLS IN STORE ROOMS; OBSERVED FLOOR IN SMALL STOREROOM AND UNDER RACKS IN WALK IN COOLERS IN NEED OF CLEANING: PLEASE PROVIDE WALL TO FLOOR JUNCTIONS (COVE BASE OR CAULK) AND CLEAN SPECIFIED FLOORS. (760.1200) NEXT INSPECTION
37  OBSERVED FAN GRILLS IN BOTH WALK IN COOLERS IN NEED OF CLEANING. PLEASE CLEAN. (760.1310) NEXT INSPECTION
38  OBSERVED LIGHT OUT IN BEER WALK IN COOLER. PLEASE REPLACE. (760.1340) NEXT INSPECTION
42  OBSERVED MOP AND BUCKET STORED IMPROPERLY. PLEASE CLEAN AND SANITIZE MOP AND BUCKET AFTER EVERY USE AND HANG MOP TO DRY. (760.1480) NEXT INSPECTION
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Marada /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/09/2009 Time In  1:00 PM Time Out  1:45 PM Sanitation Score  87 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  87  
 
Page 3 of 3

    Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   MM026  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4700180 Address  3 S GLADIOLUS
Owner or Operator   MAC'S CONVENIENCE STORES City   MOMENCE Zip Code   60954
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   Marada /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  04/09/2009 Time In  1:00 PM Time Out  1:45 PM Sanitation Score  87 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  87