Page 1 of 3

    Food Service Establishment
X 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 #   AP010  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CIRCLE K #4700178 Address  3304 WALDRON RD
Owner or Operator   MAC'S CONVENIENCE STORES City   AROMA PARK Zip Code   60910
 
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
  
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
  
1
 Lighting provided as required - Fixtures shielded
8
X
2
 Food protection during storage, preparation, display, service and transportation  
WATER
  
VENTILATION
*27
X
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
  
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
 
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 41; half n half 40; nacho cheese 140; turkey & cheese 39; cheese dog, 41; 142; chicken wrap 10, 135; pizza 9; ice cream 2
 
General Comments
A follow up will occur in apprx. 10 days for violation #27. 
Report and Instructions Received By   Sandra Boyd /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/05/2010 Time In  10:30 AM Time Out  11:30 AM Sanitation Score  88 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  88  
 
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 #   AP010  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4700178 Address  3304 WALDRON RD
Owner or Operator   MAC'S CONVENIENCE STORES City   AROMA PARK Zip Code   60910
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*27  Observed no cold water in restroom; metered faucet for hot water runs 5 seconds. All sinks must be provided with hot and cold water; metered faucets must run for 15 seconds or greater. Please repair and provide cold water. (760.820) 10 Days
5  Observed no thermometers in 3-door freezer, upright freezer and Haagen Daz freezer. Please provide. (760.140) Immediate/Onsite
8  Observed beverages stored on floor in walk in cooler, back room and store. Store 6" off the floor. (760.130) Immediate/Onsite
15  Observed the following non-food contact surfaces to be improper: 1. unfinished shelves - back area, 2. chipped wood on walk in cooler shelves, 3. duct tape on end of shelves - milk - walk in cooler. Repaint, repair; remove duct tape. (760.690) Next Inspection
23  Observed the following non-food contact surfaces in need of cleaning: 1. pop rack and chemical rack - back hallway, 2. inside all store cabinets, 3. inside of empty chest freezer in store, 4. inside Haagen Daz freezer. Please clean. (760.700) Immediate/Onsite
36  Observed the concrete floor in walk in cooler and back area in need of resealing. Please reseal. (760.1200) Observed floor in alcohol walk in cooler in need of cleaning. Please clean. (760.1220) Next Inspection
37  Observed chipped paint on walls in store. Repair and repaint. (760.1210) Observed ceiling in alcohol walk in cooler in need of cleaning. Please clean. (760.1220) Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   Sandra Boyd /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/05/2010 Time In  10:30 AM Time Out  11:30 AM Sanitation Score  88 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  88  
 
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 #   AP010  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CIRCLE K #4700178 Address  3304 WALDRON RD
Owner or Operator   MAC'S CONVENIENCE STORES City   AROMA PARK Zip Code   60910
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   Sandra Boyd /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  03/05/2010 Time In  10:30 AM Time Out  11:30 AM Sanitation Score  88 (100 Minus Demerits)
By  Penny Suszycki (Sanitarian) Adjusted Score  88