HomeMy WebLinkAboutFood Service Establishment Inspection 46 (7) �►!'VJ��,a
Town of South Windsor
'tosoe.co HEALTH DEPARTMENTIWATER POLLUTION CONTROL
/I Inspection Checklist
Date: jS'( 9 �Zo �✓
Inspector:. ' / (?o�_LblgV
Establishmer}t: L"s4AtP/OX-)`S
Address: L& A u6L441
Contact Name: c /,1z7ry /x-A>64L/ Signature:
Phone:
INTERCEPTOR NUMBER
General Information #1 #2 #3
1. Was grease interceptor inspected AY ❑ 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 Q�N ❑ Y ❑ N ❑Y ❑ N
2. Provided written contractor invoice for
rllast cleaning ❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
3. Date of last cleaning
❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
❑ Y ❑ N ❑ Y ❑ N ❑Y ❑ N
Major Violations Indoor Grease Interceptor
1. Unit maintained daily X Y ❑ N ❑ Y ❑ N ❑Y ❑ N
2. Unit energized,and automatic timer set to ip.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 2/y ❑ N ❑ Y ❑ N ❑Y ❑ N
5. Heater in working order q,-T ❑ N ❑ Y ❑ N ❑Y ❑ N
6. Grease collection container in place u�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 yyN ❑ Y ❑ N ❑Y ❑ N
6. Pots,pans,dishes,and utensils scraped u,Y ❑ N ❑ Y ❑ N ❑Y ❑ N
7. Adequate renderable FOG container storage cWY ❑ N ❑ Y ❑ N ❑ Y ❑ N
8. Exhaust hood properly cleaned qkY ❑ N ❑ Y ❑ N ❑Y ❑ N
9. Renderable FOG recycled gY ❑ 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:Name: 1 tL11—
Address: /dL Z, Address: iy�i'7"!-�Le.J/�11�
Phone: Phone:
Last Pump Date: