Food Establishment Inspection Report |
||||||||||||||||||||||||||
Page 1 of ????????? | ||||||||||||||||||||||||||
|
|
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. |
|
|
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 |
|
|
IOCI 17-356
![]() |
Food Establishment Inspection Report |
|
Page 2 of ?????? | |
Establishments: POTTERS ALLEY | Establishment #: 1875 |
Water Supply: Public Private Waste Water System: Public Private | ||
Temperature Documentation: NO | License Posted: NO | Complaint Number: |
Sanitation Information | ||
Name: Richard Jones | ||
Name: BERGAN CURLESS | ||
Name: CHEYENNE GRAY | ||
Name: DIANE JONES |
SANITIZER OBSERVATIONS |
|||||
Location | Location Desc. | Method Used | Chemical Sanitizer Used | PPM | Water Temp |
3-Compartment Sink | In kitchen | Chemical Sanitizer | Quaternary Ammonium | 300.00 | 0.00 |
Sanitizer Bucket | In kitchen | Chemical Sanitizer | Quaternary Ammonium | 200.00 | 0.00 |
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
Cheese/Walk-in cooler | 37.00°F | Taco Meat/Walk-in cooler | 36.00°F | Air Temp/2-door freezer | -3.00°F |
Chicken/Pull out cooler under grill top | 41.00°F | Tomatoes/Sandwich prep cooler | 39.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Violations cited in this report must be corrected within the time frames below. |
16 |
*** Ice machine interior had a organic growth residue on the interior. *** Ensure that this is corrected within 10 days and send picture to abazzetta@tchd.net. If no e-mail is sent within 10 days, then a follow-up will occur on 12/3/2024. - 4-601.11(A): (A) EQUIPMENT FOOD-CONTACT SURFACES and UTENSILS shall be clean to sight and touch. - V |
Inspection Comments | -Great job date-labeling products. |
HACCP Topic: Food Contact Sanitizing |
Person In Charge (Signature)Diane Jones |
Date:11/21/2024 |
InspectorAdam Bazzetta |
Follow-up: Yes No Follow-up Date:12/03/2024 |