Critical Item History - ALL

Name of Est Nature Business Street City/Town Permit

Number
Critical Item Description Inspected By
Date C I Marked Follow-up Date LAG Time:
Designated Employee: Warner
Chevron Barton Station Food Service Establishment 12960 U.S Hwy 72 Cherokee 20 FS 2799 Warner

27 no paper towels at hand sink-- 5/10/2019

15 cube slicer dirty-- 5/10/2019

5 molded bbq in cooler-- 5/10/2019

Dollar General #8821 Limited Retail 510 North Columbi Sheffield 20 LR 1967 Warner

27 no tissue in mens restroom--now supplied 5/6/2019 5/9/2019 3

38 spray bottle not labeled--now labeled 5/6/2019 5/9/2019 3

Jack's Family Restaurant #047 Food Service Establishment 1105 South Montg Sheffield 20-FS-1820 Warner

31 too many flies--flies under control 5/6/2019 5/9/2019 3

15 utensils not cleaned--now clean 5/6/2019 5/9/2019 3

Little Mart/Vedika, Inc Food Service Establishment 1495 George Walla Russellville 20-FS-2813 Warner

31 flies present in establishment-- 5/10/2019

27 no paper towels at hand sinks-- 5/10/2019

15 mold in fountain heads-- 5/10/2019

6 taco meat out of temp-- 5/10/2019

Vertillo Pizza Food Service Establishment 312 Montgomery A Sheffield 20 FS 2984 Warner

38 toxic items improperly stored--moved 5/6/2019 5/6/2019 0

Yogi Food Mart Food Service Establishment 700 George Wallac Russellville 20-FS-2777 Warner

6 pizza out of temp in warmer-- 5/10/2019

Tuesday, May 14, 2019 Page 1 of 1