LAREN SSE Gee EI eed NeW YORK STATE DEPARTHENT OF HEALTH Temporary Food Service Establishment [il Se er Spal rod mace Rope estasuisHmentnane: Ayia | {o's {astne eres d yelo J Navdow Address: tiie He 7 Kee PACES conn. Ee. Zo cote PZO2. Fat Tina ean Tefal aa nike F= Agr MS | eas coensan o 1630 — I guage CAC) FE] iro fakall | t @nvsp0n | TT || L| Sarviea typ ao Sonic Fas ios INSPECTIONG®)REINSPECTION ©) PRE-OPERATIONAL ©) HAGCP ONLY © COMPLAINT ©) FIELD VISIT © INCIDENT ©) ILLNESS O Number of Red Violations ] Total Red Violations Number of Blue Violations Roinspoction C) | Not Gorected rou fue” OD CRITICAL ITEM: These tens relate direct o factors which ead to foodborne ness. These dams must eccive immedi stonton. Food tom unepprved sources: ecard contaminatd reserved 5( | 40) | Ovoniaeas 20) | Petty hazardous fobd- nt tint properaton 0), ) | “30 [Potty hzarsou food at imerpsr encore (457-1405) 30), | | Petenaly hazardous foods are not cooked to 140°F or above except cogs, 45°F; 40) ork, 150°F; round meat, 158°F; pouty, 185%; 3c), (2) 50 [Tose items imoropady ered or used 4 “6O) | Persons wth seees0 or tection ransited by food not retited 16 | 70) Feed warts donot wash hands thee (generat tho) aft containing thor nde 16 “8 Utes tongs, socens, spa, sanary dove) netused to imnao bar hand conte uh ccd or trepared iodo th 9) Accurao fod themamotrs nt avec used 3) | 10), Inaciequate fcities to maintain temperature 3); 4 15 / “11 | Peat wate inoropery protec tom an unaparoved source. 9 t “12O)|imoroper depose of sewage and qu waste. (a) | |:THESE ITEMS ARE CONSIDERED IMMINENT HEALTH HAZARDS SANITATION and MAINTENANCE ITEMS: Those items tele aoa sence operations and cleanings, | Fess no petociedn anspor trae, pay, sevice packaged geod aren | eter endaned td 10s 18 ole workers with naoquate personal cleanness 1 { 15Q) suraces not oni cleanabi, ot clan ar saiizd 6.7 190) Shia servce articles rat protect osed 3) - 17 Hard washina facts inadcunt 6; 12; 16 | 18© Acetate hememetsr not vaiatiain hot anc ci fod storage tacies 4 190 Fors, was, aig, ghtinginadecuao (0); .12;.14 202) Insects not eontraled 14(a), (6). (0) | 21D | Food operation areas not sopatate trom living and sleeping quarters. 16 220) | Trash esposa nace 1 0) 220 [Onna wot apo isnot 7; 19 hers Cool cmomzpplud ovare (be pou) — Tye THs Foran shall sae as pew AS eet = feetNEW YORK STATE DEPARTMENT OF HEALTH ‘Bureau of Commun Endonmenial Heath and Food retacion Mobile Food Service and Push Cart Inspection Report flentown AIG ‘A Resow fGarpare ah Sip Wa bw Yr Sista Santa Cote bos Re iwRf oul Angela's calor At Tine Orspecton' asso Op tes eS [425 Pelawartve | ffl @alelal Gon (lio Ae ILL) i sas seg INSPECTION @) REINSPECTION © PRE-OPERATIONAL Q HACCP ONLY Q COMPLAINT Q FIELD VISIT Q INCIDENT © ILiNess XY, ‘Numbor of Fed Viiatons Total Rod Voatone moore ns [ Beinspecton Found Not Conectod round eauites Waa Pern se lg Pele Daye Yoo] ew Tarai amr Economie Velaton: Yoon |Satsaciory Yee No ees | PUBLIC HEALTH HAZARDS TEQUIPHENT AND UTENSILS. 1+ © | Food fom an unapproved source: aduterate contarinaind 20 40 (a, Ale 4, 5) 98 “2 | Potential tazardoue food holo a proper paiodal ine ‘gacoplbie epee 20 () 2) 40 (0-80 ] Food sont sures nt sath, curable, non-corrosive, clean or sae [17 © | rar (a 108102 70) 30 | Peay swe dre src 206 improper deport 80 100) | inadequate rebigoration o baat fod storage 51; 52 20 [fee re ag [10 | Saterntag gona ny ea, nasi ~] 190 | singe sence aici not shed cansurar: reused at protected LSoltieor CLEANING AND SANITATION 20 © | Fond conic sacs rt anand sane preci rom cortamiraion Polabie waar improper proteed Fom an unapproved oar 20) (7 O | sea — —— 21.0 | Novos nse sseasnteean 11010 ios rr navi 29817) Tc | eugene own roto Fn Samvizing Ohl ot ovale 91 172 188-114 a —|230 | Wei cotsimprapety sed .115 od a prope bled served nl ned on pert (5010) ‘CONST AUCTIONTIOUID WASTE AND SEWAGEIGARBAGE AND REFUSE 7 Lid wales and svnge-unslcny torage pa 120 eet tick dN Hal Le Handwashing aces adequate, utamst. no handwacng san =| 171 | Thermemetorsinaccwato,iroropery used, improper type 51; 525.81 | 140; 145 142, Personne win ular hands Cabin, obaeo use, ck aresrare, | Trash saposal nadie #80 1515152 — @ | iccocs ad rodonts not convotied 160 130 | Food hang excosive 50 140 | Sern of mika mak produ and conan por pasa [220 | Gariog ara verlaton inadequate: mproper 178,175, 230 | Phan yal serosatinaes tae er na cenorin goad ote leanne labled ne mpwopsry protected 23 (6) (©) (2 ((6)_ 5 | eco | Mati bed sence estaba nat envond at ast very T2PSue PURRERR | 18 | atieast any 25 (a) 2000 | Premios n and suroundng ati unit et dean: ee rom iter 180 [GRITICAL TENS: Trae olla diocly to tacos ufc nado oodbore Bes ‘TARITATION a operations and dearest. These fara reals mainoranca ceod Pree COSA, 2 Seatcress | (SGMATUAE OF WSPECTOR Bua __| 37577 Lllevrmtw WV Fete ZOIG [By k20rvonx stare enantio Heat ‘Temporary Food Service Establishment ij three Cammy Emenee aa oe Proton Spa We nbcon Report oo > Mavs esrausmer me AneWys Fa Stvjes + 2 orenarons ruchvr ho Hautone idiom SPVERLY can CINCY acon (20 testy Te Bein cacy Wort TP em fee aie pata seso sence Tie ] OLHDHIN: r Led 1 ( 44 | @avsoon| h tw 4 } Service Type: Has. Mrwae INSPECTION @ REINSPECTION © PRE-OPERATIONAL ©) HACCP ONLY © COMPLAINT ©) FIELO ISTO INCIDENT © ILLNESS O Number of Red Vatons Teta Red Viatone Lumber o le Velaions Rsnapecton Toure Glo | “hrcowcs™ | fe] MOS 2 Pe oon CRITICAL ITEM: These toms rl crcl to factors which ead to fordborne ess. These tems must receive immediate attontion. “iO eee rom unapproved sources: cited coranata resened ta 2 tara 8 20 Patetaly hazards fond - not med praparaton 0), (6) “30 Potty hazardous fod at improper tomperatire (55-1405) 1,6) 40) | Patentiaty hazardous fds ar not cooked to 140"F or above exe: 2998. 145: | 150% ground moe, 180 pou 185: Se). (9) 5) Tox items improper steed or used 4 “8O | Pecsons wih disease or infection ranamitod by food net restrieted.16 7 Feed workers donot wash hands thorough (ganerato lato) tor contarinting O | ic hands 18 “aQ) Utensils tongs, spoons, spatulas, saritary gloves) not used to eliinate bare hand | ‘contact wih cocked or prepared feeds 36), | 90) Accurate foc thexmeametrs nat avalaba or used) 10, Inadequate acti o maintain temperate (0) 4.15 | “11O Potase water impronery protected rom an unapproved sourco 9 “120 lmeroper cisposal of sewage and kid wasto.11 (a) | \STHESE ITEMS ARE CONSIDERED IMMINENT HEALTH HAZARDS _ | Z ‘SANITATION and MAINTENANCE ITEMS: rhese toms relate to maintenance of food sence operations and lenis, 13(D Food net protected in ranspert, storage, play, service: packaged goods stored in Pllbraes “alle water or undeained ice 3(0};.10; 15 a 14 Food werkers wit inadequate prsonal claninss 15Q Surfaces not easy cleaabla, rot lan and sanitized 5.7 16 Single sono articles not protcted; ras .6() 17Q Hand wasting tacitios nado 85.12;.18 | 18O) Accurate thermometer not avaiabiain hot and cold food storage actos | 180) Floor, wal, ceiing, lighting inadequaie 62); 135.14 | 200) insects not conteied 14a), (0), () | I 21 | Food operation areas not separate from living and sloeping quarters. 16 220 | Tras etsposa ada 1 2) | Glo. 4 28@ | Operating witout apormt, miseolancous 17:19 | coher: ; "sod gist appbead ot ye CINE ped) Ze Thisform staal sowve as D~# il 45 adhe on, Peanut {Saw events 4 47082 = io