HomeMy WebLinkAboutInspection 1750 Ellington Road (3) U
Town of South Windsor
OR•C�"�� HEALTH DEPARTMENTIWATER POLLUTION CONTROL
Inspection Checklist
Date:
Inspector:
Establishment:
Address: l
Contact Name:� Signature: L
Phone:
INTERCEPTOR NUMBER
General Information #1 #2 #3
1. Was grease interceptor inspected q;l ❑ N ❑ Y ❑ N ❑Y ❑ N
2. Grease interceptor accessible for maintenance tb 1 ❑ N ❑ Y ❑ N ❑Y ❑ N
❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
Major Violations Outdoin- Grease Interceptor
1. Manhole cover brought to grade,and labeled. ❑ y ❑ N ❑ y ❑ N ❑Y ❑ N
2. Provided wr' n contractor invoice for last cleaning ❑ y ❑ N El ❑ N ❑Y ❑ N
3. Date o ast cleaning
❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
Major Violations Indoor Grease interceptor
1. Unit maintained daily �P�t/� > T Y ❑ N ❑ Y ❑ N ❑Y ❑ N
2. Unit energized,and automatic timer set to ram}.= ❑ N ❑ y ❑ N ❑Y ❑ N
operate during business hours.
3. Screening basket in place i ❑ N ❑ Y ❑ N ❑Y ❑ N
4. Skimmer in working order ❑ y ❑ ❑ y ❑ N ❑Y ❑ N
5. Heater in working order 0 ❑ ❑ y ❑ N ❑Y ❑ N
6. Grease collection container in place n _ ❑ N ❑ y ❑ N ❑Y ❑ N
Minor Violations T/
4. Grease interceptor maintenance log available ❑ y ❑ N ❑ Y ❑ N ❑Y ❑ N
5. Signs posted at all sinks ❑ Y r LN", ❑ Y ❑ N ❑Y ❑ N
6. Pots,pans,dishes,and utensils scraped &,f ❑ N ❑ Y ❑ N ❑Y ❑ N
7. Adequate renderable FOG container storage u Y ❑ N ❑ Y ❑ N ❑Y ❑ N
8. Exhaust hood properly cleaned [j�,Y ❑ N ❑ Y ❑ N ❑Y ❑ N
9. Renderable FOG recycled ❑ N ❑ Y ❑ N ❑Y ❑ N
10. No chemical additives used p-Y ❑ N ❑ y ❑ N ❑ Y ❑ N
Non-Renderable FOG Disposal Location ❑ Trash ❑ Contractor ❑ Other
Grease Interceptor Cleaner's Information Renderer's Information
Name: Name:
Address: Address:
Phone: Phone:
Last Pump Date: