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: Jackson
McDonalds Food Service Establishment 306 Cox Creek Par Florence 41-FS-2634 Jackson

16 discontinue use of broken equipment 4/23/2019

The Boiler Room Food Service Establishment 315 North Court Str Florence 41 LF 3653 Jackson

27 capacity of hot water at restroom handsink not reaching 100 F 4/26/2019

15 dishmachine not sanitizing at proper concentration 4/26/2019

Designated Employee: Rhodes

Coussons Hardware & Conveni Food Service Establishment 5221 Highway 72 Killen 41 FS 3574 Rhodes

38 Bottle of cleaner not labeled. Corrected, bottles labeled. 4/23/2019 4/26/2019 3

07 Food in prep cooler 49-52 degrees. 4-26-19 Food in cooler 48-51 degrees, NOIS issued. 4/23/2019

El Patron Bar Grill Mexican Re Food Service Establishment 17751 Highway 72 Rogersville 41 FS-3757 Rhodes

06 Sushi rice being kept at room temperature. 4/24/2019

Lash Fish & Seafood Food Service Establishment 1091 Highway 101 Rogersville 41 FS 2731 Rhodes

15 Inside of ice machine needs cleaned. Corrected, ice machine cleaned. 4/23/2019 4/26/2019 3

Tuesday, April 30, 2019 Page 1 of 1