Food Serv _.e Establishment Inspect. .m Report Will County Health Department 323 auecrang Divo 501 Ela Av 5001 W. Monee Manhatan Road Sto 109 Balogh fe eo44d oll 60489 Monee, IL 049 (630) 670-7080 (eis 727-000 (708) 624-5724 Fac (630) 679-7031 Fax (18) 740-8147 Fa (08) 5343465 Name of Establishment Address ‘Owner Hom} ’ WIS Fesincd lo mp ur ota souue IAS F Ssiaghy Hsthistment# “Worker Number Tuneoffsatlshment Iawestion-Tupe Perl, ‘Sexase Dino ‘Water Soon PR ITLL Food Sef Wlorant nial Rilo” (Yes Table? ie) st GD “Featsiee MahtoUst_Preep “AOwenhip No Pris “pais ‘BASED ON AN INSPECTION Tins DAY, TH ITEMS MARKED (X) BELOW IDENTIFY THB VIOLATIONS IN OPERATIONS OF FACILITIES WHICH MUST RE CORRECTED BY THB NEXT ROUTINE INSPECTION OR SUCH SHORTER PERIOD OF TIME AS MAY DESPECIID, FAILURE TO. COMPLY WITH THIS NOTICH MAY RESULT IN SUSPENSION OF YOUR PEAOAI.”{#]- CRITICAL ITEMS REQUIRE IMMEDIATE CORRECTION ra 18 | 11 [retentions i TD [antennae 17 [ [2 fre rarer pmpreen z 7 os cnt rata a = ee a 1 Jeetoe cloth: een, use vested P54] = asian ses Teer fi 5 Kaeetepreacwacneepemniae feienaeevcetegarminel [sm or [> Pesertaeetae" [| bearers P| | [rrr tenpstinronin ax] [a fia rar = 1 [mcmonimiicomten fae] pa fee a 2. [reese eearenartema 38 [1 org sian tg - 6 1 [Morons lag sn wes a m 4. frotnseeed encanta ear 8 2 [Snisennastonpaae =" Tan | an ono a: eta eo caress ae T [Weert aieaed are tied 7 7 lima ceaatininketods ara wena 1 [icoenparcargamniperrmns LEAT [4 [Reset sp 3 [ 1 |ememntceioneviesarrenies —) 1) |] [resmermnseonn 5 Joeiwomn neem ieates FL 1 fromcnn eae nine om ‘a a u an 5 | Fostca sty slotod, abet on ese EL ee ees 334 4] 1 Sy [Previocs nahtahed. te ol Bn omemeeny a «| |; eescenmieneee, ae rere mora aan ee aT jet |: fences [|| feememnrmosies [« [a Jose = = aaa apmeeerer Pa] [oem a a: [Seemaastem ers ome ormcenoreccero ne 7 (feces == ba [7 Sees felipe imgsonnen ne 3CompLawTenp 1/1) Wiping Cabal) WiTemp____ Tent Fo Gala iguinffoo BIO 352 th faz Saye eee men. [REMARKS AND RECOMMENDATIONS FOR CORRECTIONS connkeray-| | a5 |rssmc— Luis Doula t/5~ 96575 In Tao} 3) fo PD ona tnin DID IA DS Aphis Nox les" hb) 21359 Ati AtcVinam goved’> 4a plaro ay a T 7 Bhinkem [EY? Br stag twit Pais) boa 9% Maint Tye Atn ayn Ses Pits 22 N=Nextlnspection = Conected emp HACCP—Cr} AO WLS ee Sanitation'Seore__ 5} (100 Minus Demerits) , ‘ eee gs pete SO Sl7 inspected by UOT LAr ___ Received by *'Y SiGWATURE ACKNOWLEDGES ONLY RECEIPT OF INSPECTION REPORT v Date of Insp. 5 ~ © ‘Time of Insp. Tn | \