Critical Item History - ALL

Name of Est Nature Business Street City/Town Permit

Number
Critical Item Description Inspected By

Date C I Marked Follow-up Date LAG Time:

Designated Employee: Hayes
Cork & Crust Pizzeria Food Service Establishment 12120 County Line Madison 44FS1578 Hayes

15 4-602.11A Dirty drink machine found during inspection. 10/9/2020

Greenbrier Restaurant Food Service Establishment 27028 Old Hwy 20 Madison 44FS75 Hayes

15 4-602.11 Dirty Ice Maker found during inspection. Abated during follow up inspection. 10/6/2020 10/9/2020 3

06 3-501.14 Chicken cooked from previous day temp. @ 50f in storage bin. Abated during follow up 10/6/2020 10/9/2020 3
inspection.

Grounded Coffee Food Service Establishment 12120 Suite C Cou Madison 44FS1462 Hayes

16 Hot water @ 107f in warewash sink during inspection. 10/5/2020

Little Caesars Pizza Limited Food 100-0 Hwy 31 Sout Athens 44LF1096 Hayes

16 4-601.11A Cracked food containers found during inspection. 10/7/2020

Lucia's Cocina Mexicana - Madi Food Service Establishment 12090 Suite H Cou Madison 44FS1212 Hayes

27 Handsink hot water handle not working, and hot water temp. only reaching 96f. Abated during 10/5/2020 10/9/2020 4
follow up inspection.
16 Food container lids cracked. Abated during follow up inspection. 10/5/2020 10/9/2020 4

06 Rice hot holding @ 128f. Abated during follow up inspection. 10/5/2020 10/9/2020 4

Marathon Mini Mart (Hines & Limited Food 1200 Hwy 72 West Athens 44LF86 Hayes

16 4-302.12 No food probe thermometer found during inspection. 10/7/2020

McDonald's - Madison Food Service Establishment 11178 County Line Madison 44FS1545 Hayes

15 4-602.11A Dirty can opener blade found during inspection. Abated during follow up inspection. 10/6/2020 10/9/2020 3

Publix Bakery # 1185 Food Service Establishment 12070 County Line Madison 44FS1179 Hayes

15 0 ppm found in sanitization sink. Abated during follow up inspection. 10/5/2020 10/6/2020 1

Designated Employee: Pharr

Nutrition on the Square Limited Food 209 W. Washingto Athens 44LF1878 Pharr

26 Backflow prevention was not provided on sprayer hose at mop sink. 10/9/2020

15 Interior of ice machine was not clean. 10/9/2020

Tuesday, October 13, 2020 Page 1 of 1