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Blackburn Elementary School 110004 05 02 17.LS.PDF
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1 2 3 13 14 15 Food Establishment Inspection Report 16 17 18 19 20 21 Score: 22 23 25 26 Establishment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upervision .2652Employee Health Good Hygienic Practices .2652, .2653 .2652, .2653, .2655, .2656Preventing Contamination by Hands .2653, .2655Approved Source 2 1 0 2 1 0 2 1 0 2 1 0 .2653, .2654Protection from Contamination 3 1.5 0 3 1.5 0 2 1 0 .2653Potentially Hazardous Food TIme/Temperature 3 1.5 0 3 1.5 0 3 1.5 0 3 1.5 0 3 1.5 0 3 1.5 0 2 1 0 1 0.5 0 .2653Highly Susceptible Populations .2653Consumer Advisory .2653, .2657Chemical 1 0.5 0 2 1 0 .2653, .2654, .2658Conformance with Approved Procedures 2 1 0 $SSURYHGWKDZLQJPHWKRGVXVHG 7KHUPRPHWHUVSURYLGHG DFFXUDWH :DWHUDQGLFHIURPDSSURYHGVRXUFH 9DULDQFHREWDLQHGIRUVSHFLDOL]HGSURFHVVLQJ 3ODQWIRRGSURSHUO\FRRNHGIRUKRWKROGLQJ 3DVWHXUL]HGHJJVXVHGZKHUHUHTXLUHG )RRGSURSHUO\ODEHOHGRULJLQDOFRQWDLQHU 3HUVRQDOFOHDQOLQHVV :LSLQJFORWKVSURSHUO\XVHG VWRUHG39 :DVKLQJIUXLWV YHJHWDEOHV ,QXVHXWHQVLOVSURSHUO\VWRUHG GULHG KDQGOHG 28 29 30 32 33 34 35 36 38 40 41 42 &RPSOLDQFH6WDWXV OUT CDI R VRIN OUT N/A N/O 1 0.5 0 .2653, .2655, .2658Safe Food and Water 2 1 0 PHWKRGV 1 0.5 0 .2653, .2654Food Temperature Control 1 0.5 0 1 0.5 0 1 0.5 0 .2653Food Identification 2 1 0 .2652, .2653, .2654, .2656, .2657Prevention of Food Contamination DQLPDOV 2 1 0 1 0.5 0 1 0.5 0 1 0.5 0 .2653, .2654Proper Use of Utensils 1 0.5 0 1 0.5 0 1 0.5 0 .2653, .2654, .2663Utensils and Equipment 2 1 0 1 0.5 0 1 0.5 0 .2654, .2655, .2656 Physical Facilities 2 1 0 2 1 0 2 1 0 1 0.5 0 1 0.5 0 1 0.5 0 1 0.5 0 Total Deductions: '++6LVDQHTXDORSSRUWXQLW\HPSOR\HU(QYLURQPHQWDO+HDOWK6HFWLRQ )RRG3URWHFWLRQ3URJUDP1RUWK&DUROLQD'HSDUWPHQWRI+HDOWK +XPDQ6HUYLFHV'LYLVLRQRI3XEOLF+HDOWK 98.5 BLACKBURN ELEMENTARY SCHOOL 2018110004 4377 W NC 10 HWY NEWTON NC 28658 18 Catawba CATAWBA COUNTY SCHOOLS 0 5 0 2 2 0 1 7 A 0 9 4 5 1 0 3 0 45 minutes IV 0 1.5 2 CR Off REHS Contact Phone Number: 3HUPLWWHH REHS ID: 7HOHSKRQH Establishment Name: 6WDWXV&RGH Establishment ID: =LS ,QVSHFWLRQ 5H,QVSHFWLRQ Regulatory Authority (Print & Sign): Person in Charge (Print & Sign): Wastewater System: Water Supply: Comment Addendum to Food Establishment Inspection Report 'DWH &DWHJRU\ /RFDWLRQ$GGUHVV &LW\6WDWH &RXQW\ 7HPSHUDWXUH2EVHUYDWLRQV ,WHP 7HPS 7HPS/RFDWLRQ,WHP/RFDWLRQ 7HPS ,WHP /RFDWLRQ (PDLO (PDLO (PDLO 2EVHUYDWLRQVDQG&RUUHFWLYH$FWLRQV9LRODWLRQVFLWHGLQWKLVUHSRUWPXVWEHFRUUHFWHGZLWKLQWKHWLPHIUDPHVEHORZRUDVVWDWHGLQVHFWLRQVRIWKHIRRGFRGH Verification Required Date: )RRG(VWDEOLVKPHQW,QVSHFWLRQ5HSRUW '++6LVDQHTXDORSSRUWXQLW\HPSOR\HU(QYLURQPHQWDO+HDOWK6HFWLRQ )RRG3URWHFWLRQ3URJUDP1RUWK&DUROLQD'HSDUWPHQWRI+HDOWK +XPDQ6HUYLFHV'LYLVLRQRI3XEOLF+HDOWK 3DJHRI 0XQLFLSDO&RPPXQLW\2Q6LWH6\VWHP 0XQLFLSDO&RPPXQLW\2Q6LWH6\VWHP First Last First Last Comment Addendum Attached? BLACKBURN ELEMENTARY SCHOOL 2018110004 4377 W NC 10 HWY NEWTON NC 18 Catawba 28658 CATAWBA COUNTY SCHOOLS 05/02/2017 A IV CORN FHOT WELL 144 CHILI HOT WELL 138 BEANS HOT WELL 144 MEAT WALK IN COOLER 38 45 4-501.11 Good Repair and Proper Adjustment-Equipment - C ICE BUILDING IN FREEZER NAROUND DOOR. REPAIR AS SOON AS POSSIBLE. REPLACE TORN COOLER GASKETS ON REACH IN COOLERS AS NEEDED. 53 6-201.11 Floors, Walls and Ceilings-Cleanability - C REFINISH NFLOOR IN DRY STORAGE AREA. LUKE SEARS 1896 - Sears, Luke 2 Establishment ID:Establishment Name: Comment Addendum to Food Establishment Inspection Report 2EVHUYDWLRQVDQG&RUUHFWLYH$FWLRQV9LRODWLRQVFLWHGLQWKLVUHSRUWPXVWEHFRUUHFWHGZLWKLQWKHWLPHIUDPHVEHORZRUDVVWDWHGLQVHFWLRQVRIWKHIRRGFRGH2EVHUYDWLRQVDQG&RUUHFWLYH$FWLRQV9LRODWLRQVFLWHGLQWKLVUHSRUWPXVWEHFRUUHFWHGZLWKLQWKHWLPHIUDPHVEHORZRUDVVWDWHGLQVHFWLRQVRIWKHIRRGFRGH 3DJHRI )RRG(VWDEOLVKPHQW,QVSHFWLRQ5HSRUW '++6LVDQHTXDORSSRUWXQLW\HPSOR\HU(QYLURQPHQWDO+HDOWK6HFWLRQ )RRG3URWHFWLRQ3URJUDP1RUWK&DUROLQD'HSDUWPHQWRI+HDOWK +XPDQ6HUYLFHV'LYLVLRQRI3XEOLF+HDOWK BLACKBURN ELEMENTARY SCHOOL 2018110004 N/A