HomeMy WebLinkAboutFood Service Establishment Inspection 86 (12) a
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w Town of South Windsor
oR•co HEALTH DEPARTMENT/WATER POLLUTION CONTROL
j Inspection Checklist
Date: /1.0/ 0
Inspector:
Establishment: WeA) Flkase
Address: LVAoo AtZAjU43
Contact Name: Jet/ zl, Signature:
Phone:
INTERCEPTOR NUMBER
General Information #I600t 1-1A,0 #2>J #3
1. Was grease interceptor inspected 44- ❑ 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 Out or Grease Interceptor
1. Manhole cover brought t grade,and labeled. ❑ y ❑ N ❑ Y ❑ N ❑Y ❑ N
2. Provided written con actor invoice for last cleaning ❑ y ❑ N ❑ Y ❑ N ❑Y ❑ N
3. Date of last clean' g
❑ Y ❑ N El ❑ N ❑ Y ❑ N
❑ Y ❑ N aY ❑ N ❑Y ❑ N
Major Violations Indoor Grease Interceptor
1. Unit maintained daily Vf ❑ N vA' ❑ N ❑Y ❑ N
2. Unit energized,and automatic timer set to Wf ❑N ❑ N ❑Y ❑ N
operate during business hours.
3. Screening basket in place ❑ N ❑ N ❑Y ❑ N
4. Skimmer in working order W, ❑ N w Y ❑ N ❑Y ❑ N
5. Heater in working order [Of ❑ N VY ❑ N ❑ Y ❑ N
6. Grease collection container in place 2/y ❑ N Vf ❑ N ❑Y ❑ N
Minor Violations //
4. Grease interceptor maintenance log available ❑ Y N/N ❑ Y ❑ N ❑Y ❑ N
s
5. Signs posted at all sinks ❑ y 0 ❑ y ❑ N ❑ Y ❑ N
6. Pots,pans,dishes,and utensils scraped VY ❑ N ❑ Y ❑ N ❑Y ❑N
7. Adequate renderable FOG container storage NA ❑ N ❑ Y ❑ N ❑Y ❑ N
8. Exhaust hood properly cleaned QA ❑ N ❑ Y ❑ N ❑Y ❑ N
9. Renderable FOG recycled �fy ❑ N ❑ Y ❑ N ❑Y ❑ N
10. No chemical additives used Vy ❑ N ❑ Y ❑ N ❑ Y ❑ N
Non-Renderable FOG Disposal Location ❑ Trash Contractor ❑ Other
Grease Interceptor Cleaner's Information Renderer's IInfformation
Name: �gyt9 /�r�f� Name: /' h3-5 �G �
Address: Address:
Phone: Phone:
Last Pump Date: