HomeMy WebLinkAboutFood Service Establishment Inspection 90 Town of South Windsor
�OsoR-coC, HEALTH DEPARTMENT/WATER POLLUTION CONTROL
Inspection Checklist
Date: 67110 D0 1r
Inspector:
Establishment: j
Address: V
Contact Name: i bya- m Signature: }�
Phone: 26M -- 1l g
INTERCEPTOR NUMBER
General Information #1 #2 #3
1. Was grease interceptor inspected ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
2. Grease interceptor accessible for maintenance ❑ 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. ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
2. Provided written contractor invoice for last cleaning ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
3. Date of last cleaning
❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
❑ Y ❑ N El ❑ N ❑Y ❑ N
Major Violations Indoor Grease Interceptor
1. Unit maintained daily ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
2. Unit energized,and automatic timer set to ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
operate during business hours.
3. Screening basket in place ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
4. Skimmer in working order ❑ Y ❑ N ❑ Y ❑ N ❑ Y ❑ N
5. Heater in working order ❑ Y ❑ N ❑ Y ❑ N ❑ Y ❑ N
6. Grease collection container in place ❑ Y ❑ 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 ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
7. Adequate renderable FOG container storage ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
8. Exhaust hood properly cleaned ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
9. Renderable FOG recycled ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
to. No chemical additives used ❑ 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: