Yale of Bub me Sommerer TSREIRDL Feed Service Estanishment ESTABLISHMENT NAME Me Fag Spat openaton'sname. “Yop - aacvessitie De Qctusrice 5 Buble bk Couny Ere Zip code:_ 1 FOOD NOS ecaiy Time Begin Time Eng Capac AS@RAS |[ T1280 uss pai acer aoe 0 sei 1 @LHOHIN ] HITT LIT eld eel G | Siveoon OK] fol] IPT] Service Type: Date of Service =~ Hours” “Minutes INSPECTION @ _REINSPECTION C) PRE-OPERATIONAL © HACCP ONLY © COMPLAINT O) FIELD visit O INCIDENT © ILiNess ©) otal Aes Vilati ‘Number of Bue Violations Not Correct Rainpectn Found e Required ye, 40 fe), (2); .45.5 } [Pry mis od eres 3Q | Potentay hazardous fod at mpropertomparture (45 - 1@0"F i), (6) "3 OF erences ce Sah ions 140) Food wera wah inadequote personel cleanness 1 181 suces rot easy doarbl,nctcloan ae sve 67 nen etnies “g Sol sevice cles rt protected used 5) i No test 17 hand wastna ses nade 8.12.16 100 [Acsrtetarondirectamineintenseasessoetaaiee A ARIS: West Stalin - pet avacladle 100 Pts, le, on, ging cee 185.14 HB: Sua bude? 2 POM sackna— aborearets 20(D| Insects not controled 1442), (b), (0) 212| Food operation areas not separate trom lvng and slecping quarters. 16 220) | rsh pes mast.) AF voor dls chord dig 230) | operating witout a permit, misoleneous 175.19 conker ror tendvaign 1st Scho * Common 47082 = eaNEW YORK STATE DEPARTMENT OF HEALTH ‘eau of Gmmuniy Enviormortal Hoan an Food Protection ‘Temporary Food Service Establishment ‘pale nebcon Rap estaatisument name: Apnrci Ris eovescte opeaarorssNaME: jtunite Ref de vouche- ‘adress: TWIC_Ds vee Aye Su fale county,_e@vve 2 code:_f {Jo sia eae aa sia nde -pahes? cmacae concen =o i — @LHDHIN | 4) [ Volz) (ole) Lutr] sete otelrlel LT || enna Fea Wan INSPECTION QREINSPECTION @ PRE-OPERATIONAL © HAGGP ONLY © COMPLAINT © FIELD VISIT © INCIDENT Q ILLNESS O) ‘Number of Red Violations Total Ra lations [—] Found Nol Corrected Nbr ot un Valaions [—] | ond | Roinspection Required Oo Yes No Food from unapproved sources: adutealed contaminated; reserved 3), fei (e: 20 | Potentially hazardous fond - not of Smited preperation tb), (2) ‘30 | Potent nazarcous oe tproper ere (5-140) (0), (2) 4 | Patna hazardous foods sort coka io UO er above cartons, 148 So 90°F ground mest, 1587 packy 655% 316 () © |Toxc items imprepay stored ousod.4 “€O |orsons wt eas onfecon arse by fod not retited.18 270 | Feat woters do nt wash hands teas (gear ater contaminating ier hands 18 *%O sO Ltonsis dongs. saan, sp, sary sms) nl used oan tarehard ‘cont vt oad or repre foode tc) 100 10 Accurate fod themomeler nt avalabie or used) “20 10 Inadequate tect to melntan temperature 3c) 43.18 Potable water impronerty protected from an unappraved source © Improper cisposal ol sewage and quid waste.11 (a) [THESE ITEMS ARE CONSIDERED IMMINENT HEALTH HAZAR CRITICAL ITEM: These tems relate crest to actors which least feedoorelinss. These tons must recive inmedia attention 80 é Food nat protected in renspon, storage, display, service; packaged goods stored in | water or uncraned ice). 10.18 “OQ Food workers wth inadequate personal lantness 1 15©)| suraces not easily clesnable, not clean and saitized 6.7 18Q)| single sevice articles nt protete reused) 17 | Hand washing facies inadequate 8; 12; 16 180) | Accurate thermometer nt avalale in het nd col ood storage facies & 19) Fors, walls, eeting, ighting inadequate 66); .13;.14 200) insets not contro 14a), 9, () 210) Foed operation areas not separate trom Itng and sloping quarto. 16 220) Trash disposal nesute1 6) 230) | Operating wiht a poi, miseotancous 17; 18 ~ Corrected Conrebed. | hccele 2 pow | Layeleet™ ex, Sar ana ae 47082