HomeMy WebLinkAboutFood Service Establishment Inspection 19 (12) � a
w� Town of South Windsor
'^osox.co� HEALTH DEPARTMENTIWATER POLLUTION CONTROL
Inspection Checklist �'-e e_ Qc.,,wtHl"
Date: 5, 1 MI-11 V t U L U v. \r—i if
Inspector; . D , S
Establishment: -\--w-jee
Address: LA t\J
Contact Name: Y\C,, &i �o a1 eO�_vA, Signature:
Phone: (MIA l 7 L�
INTERCEPTOR NUMBER
General Information #1 #2 #3
1. Was grease interceptor inspected dvy in N ❑ Y ❑ N ❑Y ❑ N
2. Grease interceptor accessible for maintenance Y'� ❑ N o 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. 9-1 ❑ N o Y ❑ N ❑Y ❑ N
2. Provided written contractor invoice for last cleaning q jy ❑ N ❑ Y ❑ N ❑Y ❑ N
3. Date of last cleaning
❑ Y ❑ N El ❑ N ❑Y ❑ N
❑ Y ❑ N ❑ Y ❑ N oY ❑ N
Major Violations Indoor Grease Interceptor
1. Unit maintained daily cE4 ❑ N ❑ Y ❑ N ❑Y ❑ N
2. Unit energized,and automatic timer set to p/? ❑ N ❑ Y ❑ N ❑ Y ❑ N
operate during business hours.
3. Screening basket in place (Y1 ❑ N ❑ Y ❑ N ❑Y ❑ N
4. Skimmer in working order my ❑ N ❑ Y ❑ N ❑Y ❑ N
5. Heater in working order 6-� ❑ N ❑ Y ❑ N ❑Y ❑ N
6. Grease collection container in place m-Y ❑ N ❑ Y ❑ N ❑Y ❑ N
Minor Violations
4. Grease interceptor maintenance log available v4 ❑ N ❑ Y ❑ N ❑ Y o N
5. Signs posted at all sinks OK n< ❑ Y ❑ N ❑Y ❑ N
6. Pots,pans,dishes,and utensils scraped or/Y ❑ N ❑ Y ❑ N ❑Y ❑ N
7. Adequate renderable FOG container storage Er< ❑ N ❑ Y o N ❑Y ❑ N
8. Exhaust hood properly cleaned R-V ❑ N ❑ Y ❑ N ❑Y ❑ N
9. Renderable FOG recycled �Y ❑N ❑ Y ❑ N ❑Y o N
10. No chemical additives used a-f_ ❑ N � ❑ Y ❑ N ❑Y ❑ N
Non-Renderable FOG Disposal Location ❑ Trash m1Contractor o Other
Grease Interceptor Cleaner's Information Renderer's Information
Name: ]J Name:
Address: Address:
Phone: Phone: _
Last Pump Date: