HomeMy WebLinkAboutFood Service Establishment Inspection 85 (22) low N Be& _
Town of South Windsor
r^OSaR•Co HEALTH DEPARTMENT/WATER POLLUTION CONTROL
Inspection Checklist
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Date: S- 1 1
Inspector: MA-�S'
Establishment:
Address: $' u-2r A,{-Q.2yN W
Contact Name: G Signa
Phone:
INTERCEPTOR NUMBER
General Information #1 #2 #3
1. Was grease interceptor inspected M/Y ❑ N ❑ Y ❑ N ❑Y ❑ N
2. Grease interceptor accessible for maintenance v/y ❑ N ❑ Y ❑ N ❑Y ❑ N
❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
Major Violations Outdoor Grease Interceptor
1. Manhole cover brought to grade,and labeled. 1 ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
2. Provided written contractor invoice for last cleaning 9f Y ❑ N ❑ Y ❑ N ❑Y ❑ N
3. Date of last cleaning
ZY ❑ N ❑ Y ❑ N ❑Y ❑ N
❑ Y ❑ N ❑ Y ❑ N ❑Y aN
Major Violations Indoor Grease Interceptor
1. Unit maintained daily M/Y ❑ N ❑ Y ❑ N ❑Y ❑ N
2. Unit energized,an utomatic ti het to ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
operate during business hours.
3. Screening basket in place p-¢ ❑ N ❑ Y ❑ N ❑Y ❑ N
4. Skimmer in working order aY-' ❑ N ❑ Y ❑ N ❑ Y ❑N
5. Heater in working order m4 ❑ N ❑ Y ❑ N ❑Y ❑ N
6. Grease collection container in place IYY/ ❑ N ❑ Y ❑ N ❑Y ❑ N
Minor Violations
4. Grease interceptor maintenance log available ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
5. Signs posted at all sinks ❑ Y ❑'N ❑ Y ❑ N ❑Y ❑ N
6. Pots,pans,dishes,and utensils scraped in�Y ❑ N ❑ Y ❑ N ❑ Y ❑ N
7. Adequate renderable FOG container/storage Y'Y ❑N ❑ Y ❑ N ❑ Y ❑ N
8. Exhaust hood properly cleaned ❑ Y ❑ N ❑ Y ❑ N ❑ Y ❑ N
9. Renderable FOG recycled m,`� ❑ N ❑ Y ❑ N ❑Y ❑ N
10. No chemical additives used my ❑ N � ❑ Y ❑ N ❑Y ❑N
Non-Renderable FOG Disposal Location ❑ Trash V' ontractor ❑ Other
Grease Interceptor Cleaner's Information Renderer's Information /�_ _
Name: - � Q 0�\ C�1'T1 e(PVI�Name: &J,&J em\�G�Y\c� LJ�'fG/ 1~I—
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Address: O a k�S ? Address: b L,)C!tA4 �-C• ;d - r�
Phone: Sf�yl"��' w 1��6 r . U�� Phone: �`�g �314 — V) Q'
Last Pump Date: PA A A
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