HomeMy WebLinkAboutFood Service Establishment Inspection 40 (10) �WN 8fq<
Town of South Windsor
�SOR. HEALTH DEPARTMENTIWATER POLLUTION CONTROL
Inspection Checklist
Date: Ww'
Inspector: A.
'f
Establishment: :\
Address: 41L31U W
Contact Name: Sc2. Signature: : r
Phone: b
INTERCEPTOR NUMBER
General Information #1 #2 #3
1. Was grease interceptor inspected m/9' ❑ N ❑ Y ❑ N ❑Y ❑ N
2. Grease interceptor accessible for maintenance m/f ❑ N ❑ Y ❑ N ❑Y ❑ N
❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
❑ Y ❑ N ❑ Y El ❑Y ❑ N
Major Violations Outdoor Grease Interceptor
1. Manhole cover brought to grade,and labeled. p/y ❑ N ❑ Y ❑ N ❑Y ❑ N
2. Provided written contractor invoice for last cleaning EyY ❑ N ❑ Y ❑ N ❑Y ❑ N
3. Date of last cleaning
�1u11� ❑ Y ❑ N El ❑ N ❑Y ❑ N
❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
Major Violations Indoor Grease Interceptor
1. Unit maintained daily a ❑ N ❑ Y ❑ N ❑ Y ❑N
2. Unit energized,and automatic timer set to V ❑ N ❑ Y ❑ N ❑ Y ❑ N
operate during business hours.
3. Screening basket in place WY ❑ N ❑ Y ❑ N ❑Y ❑ N
4. Skimmer in working order VY p N ❑ Y ❑ N ❑Y ❑ N
5. Heater in working order c�/Y ❑ N ❑ Y ❑ N ❑Y ❑ N
6. Grease collection container in place p/y ❑ N ❑ Y ❑ N ❑Y ❑ N
Minor Violations
4. Grease interceptor maintenance log available RrY ❑ N ❑ Y ❑ N ❑Y ❑ N
5. Signs posted at all sinks ❑ Y fg T ❑ Y ❑ N ❑Y ❑ N
6. Pots,pans,dishes,and utensils scraped u,-y ❑ N ❑ Y ❑ N ❑ Y ❑ N
7. Adequate renderable FOG container storage p/V ❑ N ❑ Y ❑ N ❑ Y ❑ N
8. Exhaust hood properly cleaned 8"Y ❑ N ❑ Y ❑ N ❑Y ❑ N
9. Renderable FOG recycled Vey ❑ N ❑ Y ❑ N ❑Y ❑ N
10. No chemical additives used W�l ❑ N ❑ Y ❑ N ❑Y ❑ N
Non-Renderable FOG Disposal Location ❑ Trash m,,&ntractor ❑ Other
Grease Interceptor Cleaner's Information p Renderer's Information
Name: �} U� �1 V-P (� (JL vU Y1 `U Name:
Address: [ Address:
Phone: 0 0 �`� "L '" I o 8 Phone: _
Last Pump Date: moo