HomeMy WebLinkAboutFood Service Establishment Correspondenc SOWN SF4
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• 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
J�OSOR•cO TELEPHONE(860) 644-2511
January 10, 2012
Ms. Ana Medeiros
Dunkin Donuts
855 Sullivan Avenue
South Windsor, CT 06074
Subject: Plan Review and Pre-Operational Inspection
Dunkin Donuts, 855 Sullivan Avenue, South Windsor, CT
Dear Ms. Medeiros:
On December 8, 2011, this department approved the plan submitted (James D.
Smith, Architect, Job #D11100, Dated 9/27/2011) for renovations at the above
referenced food service establishment. A pre-operational inspection was conducted
on January 6, 2012, and approval to open was issued by this department.
Congratulations on the re-opening of your establishment. if you have any questions,
you may contact me at 860-644-2511, ext. 248.
Sincerely,
Sherry Gann
Environmental Health Officer
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REGULATORY AUTHORITY
COMPLIANCE REVIEW LIST AND
APPROVAL/DISAPPROVAL FORM
REGULATORY AUTHORITY COMPLIANCE REVIEW LIST
INSUFF.
*N\I\ CKfklbN °^ SAT. UNSAT. N/A INFORM.
I. Food Preparation Review
Raw food prep table(s) O O O )
Raw food prep sink(s) O O O ( )
Adequate refrigeration
Adequate cold holding
facilities
Adequate hot holding
facilities
Adequate hot food
preparation equip. ( ) ( ) ( ) ( )
Vacuum packaging
(HACCP plan)
2. Utensil & Equipment
Clean Storage O O O ( )
Soiled Storage ( ) ( ) ( ) ( )
Counter mounted equip. O O O ( )
Floor mounted equip. O O O ( )
Vacuum packaging equip. O O O ( )
Bulk food
Self service
Salad Bar ( ) ( ) ( ) ( )
Hot/Cold Buffet O O O ( )
INSUFF.
SAT. UNSAT. N/A INFORM.
3. Kitchen Equipment
Space between units or wall
closed; moveable, or
adequate space for
easy cleaning O O O ( )
Work space & aisles
sufficient O O O ( )
Storage 6" off floor O O O ( )
Countertops & cutting boards
of suitable material O O O ( )
Self serve food area
adequately protected ( ) ( ) ( ) ( )
Approved thermometer for each
refrigerator &freezer, and for
taking food temperatures O O O ( )
4. Finish Schedule
Kitchen O O O { )
Bar ( ) ( ) ( ) ( )
Food Storage ( ) ( ) ( ) ( )
Other Storage ( ) ( ) ( ) ( )
Toilet Rooms ( ) ( ) ( ) ( )
Dressing Rooms O O O ( )
Garbage & Refuse Storage O O O ( )
Mop Service Area O O O ( )
Warewashing Area O O O ( )
Walk-in refrigerator & freezers ( ) ( ) ( ) ( )
Other ( ) ( ) ( ) ( )
5. Plumbing
Cross Connections Water lines O O O ( )
Cross Connections Drains O O O ( )
Water Supply o O O O ( )
Sewage Disposal O O O ( )
Hand Sinks ( ) ( ) ( ) ( )
Dishwashing & Pot Sinks O O O ( )
Grease Traps O O O ( )
R
INSUFF
SAT. UNSAT. N/A INFORM.
Service/Janitorial Sinks ( ) ( ) ( ) ( )
Hot Water O O O O
6. Physical Facilities
Dressing Rooms O O O ( )
Separate Toxic Storage ( ) ( ) ( ) ( )
Laundry Facilities ( ) ( ) ( ) ( )
Linen Storage ( ) ( ) ( ) ( )
Lighting ( } O O ( )
Food Storage O O O ( )
Dry goods storage ( ) ( ) ( ) ( )
7. Refuse & Pest Control
Garbage & Refuse Storage ( ) ( ) ( ) ( )
Insect & Rodent
Control Measures O O { ) ( )
8. Ventilation
Exhaust Hoods O O O ( )
Ventilation ( ) ( ) ( ) ( )
9. Restrooms
Location O O O ( )
Number O O O ( )
Soap Dispensers ( ) ( ) ( ) ( )
Hand Drying ( } ( ) ( ) ( )
Sinks ( ) ( ) ( ) ( )
Toilets O O O ( )
Urinals O O O ( )
Hot and Cold Water Provided O O O ( )
Waste Receptacles ( ) ( ) ( ) ( )
Comments: (explain why any item was noted "Unsatisfactory")
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RevieWer Signature IDAte
Reviewer Title
APPROVAL: DATE: 1 8 4
DISAPPROVAL: DATE:
REASON FOR DISAPPROVAL:
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