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 box if numbered item is not in compliance 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: BROCK LAKE CONCESSION STAND | Establishment #: 1599 |
Water Supply: Public Private Waste Water System: Public Private | ||
Temperature Documentation: NO | License Posted: NO | Complaint Number: |
Sanitation Information | ||
Name: NATOSHA NOYES | ||
Name: SARAH FOGLER | ||
Name: ADAM NOYES |
SANITIZER OBSERVATIONS |
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Location | Location Desc. | Method Used | Chemical Sanitizer Used | PPM | Water Temp |
3-Compartment Sink | Chemical Sanitizer | Chlorine | 50.00 | 0.00 |
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
air temp/Koolmore cooler | 25.00°F | corn dog/hot dog hot holding unit | 142.00°F | air temp/GE freezer | -9.00°F |
salsa/GE cooler | 38.00°F | pulled pork/GE cooler | 38.00°F | gatorade/Coca-Cola cooler | 37.00°F |
pulled pork/Whirlpool freezer | 7.00°F | pretzels/Danby Designer freezer | 13.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Violations cited in this report must be corrected within the time frames below. |
Inspection Comments | No violations during this inspection! |
HACCP Topic: single use article storage |
Person In Charge (Signature)Adam Noyes |
Date:05/08/2024 |
InspectorKate Brown |
Follow-up: Yes No Follow-up Date: |