HomeMy WebLinkAboutFood Service Establishment Inspection 93 (3) Town of South Windsor
R-Co HEALTH DEPARTMENT/WATER POLLUTION CONTROL
Inspection Checklist
Date:
Inspector:
Establishment: 1/`��c i �a
Address: v-% -
Contact Name: n d 5 st- Signature:
Phone: 1 Z—
INTERCEPTOR NUMBER
General Information #1 #2 #3
1. Was grease interceptor inspected ca/Y ❑N ❑ Y ❑ N ❑Y ❑ N
2. Grease interceptor accessible for maintenance ply ❑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. VIy ❑ N ❑ Y ❑ N ❑ Y ❑ N
2. Provided written contractor invoice for last cleaning ❑ N ❑ Y ❑ N ❑ Y ❑ N
3. Date of last cleaning
�A ❑ Y ❑ N El ❑ N ❑Y ❑N
1 1 ❑ Y ❑ N El ❑ N ❑Y ❑ N
Major Violations Indoor Grease Interceptor
1. Unit maintained daily WY ❑ N ❑ Y ❑ N ❑Y ❑ N
2. Unit energized,and automatic timer set to Syr ❑ N ❑ Y ❑ N ❑Y ❑ N
operate during business hours.
3. Screening basket in place iLX ❑ N ❑ Y ❑ N ❑Y ❑ N
4. Skimmer in working order a-� ❑ N ❑ Y ❑ N ❑ Y ❑ N
5. Heater in working order 01 ❑ 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 p-y ❑ N ❑ Y ❑ N ❑Y ❑ N
5. Signs posted at all sinks ❑ Y G-N ❑ Y ❑ N ❑Y ❑ N
6. Pots,pans,dishes,and utensils scraped oY ❑ N ❑ Y ❑ N ❑Y ❑ N
7. Adequate renderable FOG container storage Q"Y ❑ N ❑ Y ❑ N ❑Y ❑ N
8. Exhaust hood properly cleaned 2-1 ❑ N ❑ Y ❑ N ❑Y ❑ N
9. Renderable FOG recycled tl'Y ❑ N ❑ Y ❑ N ❑Y ❑ N
10. No chemical additives used ❑ N ❑ Y ❑ N ❑Y ❑ N
Non-Renderable FOG Disposal Location ❑ Trash ❑ Contractor ❑ Other
Grease i teerce for Cleaner's Information Renderer's Information
Name: 'C Name:
Address: Cju �_�, vl� Address:
Phone: Phone:
1_h oo l�Last Pump Date:�