HomeMy WebLinkAboutBiscuitville 011113 06 27 13.jh.pdfFood Establishment Inspection Report
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Establishment Name: BISCUITVILLE E s t a b I is h me nt I D 20 1 80 1 1 1
Date: 0 6 1 J 7 / a 0 1 3 Status Code, A
05 a M 0- am
Time In: 0 8 : 0 9 0 Pm Time Out: 0 8 : 1 0, C) Ism
Total Time: 1 minute
Category* It
Establishment Type.
Instructions:
1. Fill in the information below for the
— - ------ F clod-Ests-bl-Ishrrie nt-: ----------------------------------------- ____
Location Address: 1110 LR BLVD SE
City: HICKORY
State" NIC Zip- 28602
County. 18 Catawba
Derr ittee: BISCUrrVILLEINC
Telephone:
0 Inspection
OIke-in specton
Wastewater System:
(f)Municipal/Community
On -Site System
Water Supply:
(t, Municipal/Community
On -Site System
2. Clickiffill the appropriaite circle
For "IN, OUT, NIA, NIO".
IN = In Complian ce, OU T= N ot in com pli an ce
NIO=Not Observed, NjA= Not Applicable
3. Click/check the appropriate
Boxes for CDI andlor
CDI= Corrected During Inspection
R = Repeat Viol ation
VR= Verification Required
4. Continue to page 2 for
"Good Retail Practices"'.
9 is k (at to ta,. Contrebrubleg factors: that in crease the chanat of deveho ping too dtforne iflness-
Public Health Interventiorrs-. Contfoi measures to, prevent forrefloorne illness or inpiry.
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Compliance Status
11 0 0 PI C Present: Demo nstrafron-Cernfication by accredered
OUT NA Iprogram and perform duties
Q Management, employees knowtedge -, responsibilities 000
OUT & reporting 3 15 0
0 Proper use of teprerfig. 00
nresiftcrion & exclusion 0
OUT 1 3 1.5 0
�Iw Proper eating, tasting, drinking, or tobacco use
OUT 2 1 0
1 . I "
0 No discharge froeyes, nose, and mouth 000
OUT m I I I O's 0
6 Hands clean is properly washed
0 c) 0
000
1 OUT
2 0
—_L
(1) 0 0 No bare hand contact with RTE foods or pre approved
7
0 0 0
tN OUT N10 alternate procedure propedyalbvved
3 1,5 0
0 Handwashing sinks supplied & accessible
OUT
0 20 0 1 0
2 1 0
0
o
0
0
,Aporoyledp "vifs
$, 0, Food obtained from approved source
0 00
0
0
01
IN OUT
2 1 0
10 0 0 Y Food received at proper to rinperature
0 0 0
0
C'e
0
Irt OUT WO
2 1 0
0 Food in good oienrietion, safe 9 unadulterated
0 0 ()
()
0
0
OUT
2 1 0
J
Required records available, shelistock tags, parasite,0
or'0
12 1A
0 0
0
001
ION OOUT 1,12destruction trion
2 1 0
1� Food separated & protected
W T NA '1 rf
OU
U U U
3 1,5 0
0 0 Food -contact surfaces: cleaned &sarntized
o 1 ()
IN O?T
3 10
Proper difiposiben of returned, previously served,
0 0 0
IT0
OUT reconditioned, & unsafe food
2 1 0
Proper cooking time & temperatures
000
OUT N A N10
3 1 5 0
0 0 ),it Proper reheating procedures for hot hoiding
0 0
OUTNIA 0
3 1-5 0
00 Proper cooling fime 9 terriperatures,
1
000
OUT 4 N 1(0
3 1 5 0
0 00 Proper hot holding temperatures
0 () 0
OUTNIA NrO
3 1,5 0
C) () '0 Proper cold holding temperatures
0 0 0
OUTNA WO
3 1.5 0
o oo Proper date marking & disprisetrDre
() 0 C)
OUT NA N10
3 1,5 0
Time as a public health controt procedures & records
I
0 0 0
0 U T NO*
2 1 0
Z�
EMMUMM
Nonh C arahnie Department of Heath& human Servots* Diwsionoftrubce Heart AV'IN OUT
Env ton mtniVme a Ith'secran * F sure Proremon Program
Page I of _ F and Establishment finspection Report, Mete 271 0 0
in OUT
provided for raw of undercooked 100 0
1 0,5 0
foods used, prohibited foods not offered a
additives approved & properly used 000
1 0,5 0
substances properly identified stored,, & used 06-6
2 r 04' V
4jance with variance, specRaJizej&a,.or,:, J(D 0 0
ed oxygen packing arena or H Cl 2 L 1 0
N
f%
Comment Addendum to Food Establishment Inspection Report
Establishment Name: BISCUITIVILL
E
Location Address: 1110 LR BLVD SE
HICKORY NG
City: State;
County- 18 Catawba Zip - 28,602
Water Supply: (9 MunidpildlCm7imunky 0 On-,SiteSystem
Permittee: BISCUITVILLE ING
2
Date: 06/2712013
Status Code: A
Category * It
Telephone: — I L—
TemperatureObservations 11 -- ------------------ - — -------- — ------------ — --------------- - -- - ------ - ---------- ------ - - - - - - - - - - - - - - - - --- ------------------------------------------------------------------------------------------------------ --- - - - --- -- —
Rem Location Temp I tem Location Temp Item Location Temp
Observations and Corrective Actions I
Molattonscited in this report mnst be corrected within the time frames below, or as staW in sections B-405.11 of the food code,
North Carohna Department of Health& Hurnan Services # Division of Rubhc Heafth # EnvironmenW Health Section *Food Protection Program
P,190 � of Food E stabfishmeot InsPimtkiti R000M V2012 WC 0 epartment of Hoalth and Mum,Dn Sgrqtgs is gm irquar oppirrtjnty cm ploytr val prowder,
II 111111yiiiiriiriv�ii : rI� iiiiiiiii I I I! I � 11111 1111 � I I I I III I I III III I 1 6 .
1: 1 1 :i: 0 1 L
Establishment Name. BISCUITVILLE Establishment ID, 2018011113 =M9
Observations and Corrective Actions
Violations cited in this report must be corrected with in the time frames below, or as stated in sections 8-405.11 of the food code-
Nonh Carolina Department of Health &Human Services *Division of Public Health * Environmental Health Section #Food P role ction Program
R.C. Department of Health and Human Services is an equal opporlurilly employer and provider. of
Page4 of - Food Establishment linspoefon Reporl, 712012
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