HomeMy WebLinkAbout040015.10.7.09.KM.pdfN.C. Department o£Erwirom nt and Natural Resources
Division o£ Erffiromne ntal He alth Score: N/A Health Department 1'
Inspection of Pushcart Date of Insp/Chg: 1 0 / 0 7 0' 9 Current Facility ID 2018040015
or Mobile Food Unit Status Cade: A Old Facility ID
Name of Facility: DAVI _ CROSBY
Permittee:
DAVID CROSBY
RIVE UN
Location Address:
Mailin Addr. 731 KITH T D NW
g
City: HICKORY State: NC zip: 28601
City: HICKORY
State: NC zip: 28601
Yes/
No
Comments:
GENERAL REQUIREMENTS (.2638):
1. Pushcart/mobile food unit operated in conjunction with
an approved (permitted) restaurant ........................................
❑ Yes
❑ No
** SEE COMMENT SHEET ATTACHED **
2. Pushcart/mobile food unit reporting at least daily to
❑ Yes
❑ NO
restaurant location for cleaning and servicing ......................
3. All foods from approved sources stored, handled, or
IfYes
❑ No
served so as to prevent contamination or adulteration........
4. All potentially hazardous foods maintained at 450 F
(7° C) or below or 140' F (60' C) or above, or as
❑Yes
❑ No
required, thermometer available ..............................................
5. Single -service eating and drinking utensils used,
❑ Yes
❑ NO
properly stored and handled ...................................................
6. Garbage and other solid waste properly stored and
❑ Yes
❑ No
disposed of in an approved manner .......................................
7. Employees clean as to their person and foodhandling
❑ Yes
❑ NO
practices, hair restraints, clean outer clothing ......................
8. All equipment and utensils of easily cleanable
❑ Yes
❑ No
construction, kept clean and in good repair ..........................
9. Pushcart/mobile food unit kept in a clean and sanitary
Yes
❑ No
condition, free of vermin...........................................................
10. Food and utensils properly protected against flies,
❑ Yes
❑ NO
dust, and other contamination.................................................
PUSHCART REQUIREMENTS (.2639):
Yes
❑ NO
1. Only hot dogs prepared on carts ..............................................
2. Food protected by glass, or otherwise, on front, top, and
Yes
❑ No
ends................................................................................................
3. Single -service towels provided ..................................................
❑ Yes
❑ NO
MOBILE FOOD UNIT REQUIREMENTS (.2640):
1. Potable water supply under pressure provided;
Yes
❑ NO
adequate; inlet clean, capped ......................................................
2. Hot water heating facilities provided .........................................
❑ Yes
❑ NO
3. Handwashing lavatory, hot and cold water, soap, and
Yes
❑ No
single -service towels provided ...................................................
4. At least a single vat sink with drainboard space on each
❑ Yes
❑ No
end to accomodate drying provided ..........................................
5. Approved sewage disposal.........................................................
❑ Yes
❑ NO
Comment Sheet Attached?
❑Yes Rd No
Inspection by
EHS I.D. # 2
59
Report Received by: x
Purpose: General Statute 13OA-248 requires the Commission forfHealth Services to adopt rules governing the sanitation of facilities where food or drink is provided for pay. This
form is developed be used in making inspections of pushcarts and mobile food units. Approval may be suspended or revoked in accordance with General Statute 130A-23.
Preparation: Local environmental health specialists shall complete the form every time they conduct an inspection. Prepare an original and two copies for: 1. Original to be left with
the responsible person. 2. Copy for the local health department. 3. Copy for the Environmental Health Services Section, Division of Environmental Health. Disposition: This form
may be destroyed in accordance with Standard 8.B.6, Inspection Records, of the Records L3aspoolson Schedule published by the N.C. Division of Archives and History. Additional
forms may be ordered from: Division of Environmental Health, 1632 Mail Service Center, Raleigh, NC 27699-1632, (Courier 52-01-00)
DENR 2902 (Revised 7105)
Environmental H ealth S ervi c es Section(Review7108)
N.C. Department of Environment and Natural R esou rses Name: DAVID CROSBY
Division of Environmental Health ID: 2018040015
Street: RIVER RUN
COMMENT ADDENDUM City: HICKORY
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