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HomeMy WebLinkAboutRestaurant Survey Report - 11/23/1984 [ I DOH 7008 - H&R 62 RESTAURAftT SURVEY REPORT OP. b SA9. AOTZFIED Rev. �Oi$ DEPT. OF HEALTH & SOCZAL SERVZCES npTE; DATE F S VEY 530-Prepackaged- DIVISIOft OF REALTH Pre-Insp. ❑ RF'r.=�a.�u. /a g / '� �y of f prem i se HOTII. AAD R&STAURAAT SECTION lst Insp. O � 80-Re u 1 a r Flrr.- Ins .p FlITf�iOLD ❑ �of stablisfiment Street Addre a or RFD ty Village or T41P Covaty � e�` f Q� J ' �����I.M � r=\ ame of L censee Street Addresa or RFD Cit V 11 e Seati I�� ; C ac Y We� e � � �nc. ��75 � � k • os eme of Previous Licensed Establishment Heme of Previous Licensed Operator �stablishment Phone Ao. I.D. No. a a.�-apao sta. P�, t�rr/sT xut� qrn�� sta. MT/ST Par. RUI,E ALThIBER H96.03-Permi ts cons i cuous 1 d i s a e I H .0 WATER SUPPLY & WASTE DZSP. 3 a Uten.Racking, Mech. 1 (2)Public Water �i(4)(b)Wash Temp, °F �rator: The violaticas in operating proceaure r 2 (2)Public Sevage � �(4)(c)Deterg. Disp. ptlYsical arrangement indicated :elov must be corr eted 3 �3)Private ilater �J �i -(L)(d)1 Spr�y °F by the next routine inspection or such period of, ime T(4)(e)ib)Private :�wage O ��(L)(d)2 Imers. oF as msy be specified � �(4)(c)Privies �-(4)(e)Samp. Tap. ��� � �, , � ���� (5)(e)i X Connections ��(4)(f)Press. Gauge � �`�X. � � �ti T �5)�s)� Grease Intercep.}`wk ' d 70 (L)(g)Temp. Gauge / A--A ' ��5)�b}Fix. Connections� �R$tN �71 (5)Air Dry � `�^ }'�s'�-��-- -- - ------ -- --� �5)�c)General Maint. 4"` _^.�g a.� p7 gppD _� -____ 10 (6)Ref2�ig. Drains `.._�T2���A � pp. Source + 11 (7)Hot & Cold Water d 73 (1)(b)App. Food Pr ss � $����A. 12 (8}(a)�pl. Hdx.-Ex. �7T-(1)(c)Food Iden � 4� ��� � �� 3 (8)(b)Et¢pl. HdG*.-New & C.0. ' 75 (1)(d)Grade A lk� � - �Q �Q} �',�,��_Q� �,�,�,,,,,� �i ''•,. a...�..�.{__T O �d�'-t 1)�e)I ce ce � �-�'�a�- 1L'B'�ta- • r�ri+�� 1 �1 (8)(d)Soap d, Ind. Toxels��� _s7�(1)(f)Food ep. Comply, � ��� � X�A�,,�,. �9)�s)Ex. Rest.-Under 25 v 7�(2)(a)Food rotection o �y`� � �� J ��9)�b)New & C.O.-ea. Sex 79 (2)(b)1 Cold Temp. F�,,,,a, d_ • �-�•.�+s � (181�C�9)�c)Res . Fixt.-over 25 �(2)(b)2 Hot mp. -�F� � � �S�'��-•� u. 81 ' i ���9)�d)Dr:.e In Toilet Rooms (2)(c)Thor. Co d Food t� �9}�e)Toilet Room Superv. �82 (2)(d)Reuse of Foo ; _�9)(f}T.R. Doc-s Self-Closing � (2)(e)Thermometers � �-�$� ---- • � *,,,�,A �,` _- �9)t8)T.R. Location t��(2)Ef)Toxic Prod. Stpi! �""'`�'�"` �,.�9)�h)Nev-T.R.-Contig. r� 5 (2)(g)Milk Protection � �'<��- • � . �� `+l Y t9)�i'-Sex Designation �i�-(2)(h)Ice Storage Q � 25 T �9)t�iT.R. Directions Posted �87 (2)(i)Food Storage p� � ��9)�k)Toilet Room Maintenance 88 (2)!,j)Wet Storage /� � �� � 2T (10)(,a) Garb. & Reflise in K3t. `..jg9 -(2)(k)Displeyed Fc�od�s4c� y�..0� � • r�Z�6'`�.� 28 (10)!b)Garbage Storage �90 (2)(1)1 Container Material^�:,V. ,��,�y � \ 29 (10)(c)Garoage Containers �91 (��j(1)2 Container Arrang.��� ��`�^'Q.. � � 30 (10)(d)Rubbish Containers o 2 (2)(m)Plate Reuse ��� /- 31 (10)(e)Garb. & Ref. Stor. Area �9 (2)(n)Tongs, Scoops, etc�.����`}� 32 (10)(P)Garb. & Reflise Removal gTi -(2)(o)Food washed � 33 �11)Com. Cun Prohibiteci �95 (?_)(p)Condiment Disp. � � �� ��� F�°5•OS EQUIP., UTEN. & FIJR;i_TSHINGS 96 (3)�a)Animal Restric. 34 (1)(a)(b)(2)(a)Design & Approval 97 (3)�b)Laun. Prohib. ���t �`$ _� _ � 35 (1)(c)(d)Defect. Uten. & EquiF• 9�-�3)(b)2 Sleep. Prohib. - ` ���t�''^• �� (2)(b)No toxic Utensils �}99 �3)�c)1 Liv. Slp. Qtrs. Prob. 3? (2)(c)Beverage Dispensers ���00 (3)(c)2 Self. C1. Doors 38 (3)(a)Sanitarf Installation y�+1.01 (4)Deliv, Vehicles 39 �3)�b)Dispenser Location 102 (5)Open Air Serving +�-(k)(a)(b)Ute::. & Equip. Stor. �.08 PERSONNEL �-(4)(c)Dipper Storage 103 1 Q b cj(2)(a)Comm. Dis. ���5)�a)Furnishings lOT-(3)(a)Cleanliness +�3 -(5)(b)Soiled Linen Storage 105 �3)�b)Hair Restraint +�+-(6)(a)Single Service Stor. lo (3)(c)Use of Tobacco +�5-(6)(b)Strav Dispens�rs 107 �3)�d)Dressing Rooms +�6 (6)(c)Cup Dispensers 108 (�t)Food Hand. Train. Tt7-(6)(d)Reuse of Single Serv. H9�i.�09 EUILDING STRUCTURE +�8-(7)(a)Washing Aids Clean 109 1 Bldg. Code Comply �i9 (7)(b)Floor Clean, aids-stor. 110 (2)(a)Floors Comply -H�9�.06 WASH RINSE & SANITIZE UTEN. 111 (2)(b)Floors Inperv. 50 (1 s Clean Food Contact Surf. 112 (2)(c)Wall-Ceiling-Comply 51 (1)(b)Cooking Surfaces ��(2)(3)Insect Control �_(1)(c)Promptly Sanitized 11C 4�(2)(e)Lighting �_(1)(d)Nun-food Contact Surf. 1�'-(2)(f)Ventilation �_ (2)Prer✓:sh 6.10 MAINTENANCE 55 (3)ta)h!.,n. C1.-exist. � 1 F1., Walls, Ceilings �_�3)�b)Man. C1.-new or rep. 1 (2)Vermin 57 (3)(c)Cocapartment Size 118 (3)Pre ise �_�3)�d)Properly vashed °F �9---�3)�e)Prop. San. oF��'_ `C� k' d� �3)(f)Sanitizer Clean Q f ` �-�3)�g)Additives Prohib.� p �v�-� ��3)(h)Uten. San. & Air Drying\� SIGNATURE OF �ICE2iSEE OR EME'LOYEE SIGNATURE OF SANITARIAN