Loading...
HomeMy WebLinkAboutFood Service Establishment 535 Evergreen (3) � "T4 w� Town of South Windsor oe.co HEALTH DEPARTMENTIWATER POLLUTION CONTROL Inspection Checklist Date: S7 l © �o St-\e- LA Ul. UA-k- (� (0i/1�U1 C- Inspector:�. nx `S Establishment:_ [I 'S ,���, \t 1 V� S�h�` � � Address: LJcLhqY Contact Name: a(\S Signature: Phone: M4 LA S !� INTERCEPT NUMBER General Information #1 #2 #3 1. Was grease interceptor inspected ft/Y ❑ N ❑ Y ❑ N ❑Y o N 2. Grease interceptor accessible for maintenance V�' ❑ N ❑ Y ❑ N ❑Y ❑ N ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N ❑ Y ❑ N ❑ Y oN ❑Y ❑ N Major Violations Outdoor Grease Interceptor 1. Manhole cover brought to grade,and labeled. Wy ❑ N ❑ Y ❑ N ❑Y ❑ N 2. Provided written contractor invoice for last cleaning ❑ Y ❑N ❑ Y ❑ N ❑Y o N 3. Date of last cleaning W'Crnow'�- ❑ 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 o 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 o 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 o N Minor Violations 4. Grease interceptor maintenance log available ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N 5. Signs posted at all sinks ❑ Y o N ❑ Y ❑ N ❑Y ❑ N 6. Pots,pans,dishes,and utensils scraped ❑ Y ❑ N ❑ Y ❑ N o 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 10. No chemical additives used ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N Non-Renderable FOG Disposal Location ❑ Trash i contractor ❑ Other Grease Interceptor Cleaner's Information Renderer's Information Name: Name: Address: Address: Phone: Phone: _ Last Pump Date: