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: Boggan
Dixie Fresh Foods, LLC. DBA T Food Service Establishment 1917 Florence Blvd Florence 41-FS-3111 Boggan

07 Cooler items above 41 degrees 9/19/2018

08 Date mark foods in walk-in cooler 9/19/2018

Little Caesars Pizza Food Service Establishment 1626 Darby Drive Florence 41-FS-2905 Boggan

27 Towels at all handsinks 9/19/2018

UMI Japanese Steak House Food Service Establishment 201 Cox Creek Par Florence 41-FS-2999 Boggan

38 Label cleaners (labeled) 9/19/2018 9/19/2018 0

Designated Employee: Jackson

Golden Corral Food Service Establishment 362 Cox Creek Par Florence 41 FS 3730 Jackson

08 date mark all TCS items in cooler storage. Abated- manager correcetd during inspection. 9/21/2018 9/21/2018 0

Hampton Inn And Suites Limited Food 505 South Court St Florence 41-LF-2881 Jackson

08 date mark al TCS food items. 9/19/2018

07 keep TCS items (cream cheese) below 41 F 9/19/2018

Homeside Food Service Establishment 3922 Cloverdale R Florence 41 FS 3370 Jackson

07 cut tomatoes, cut lettuce above 41 F. 9/18/2018

Krispy Kreme Doughnut, Inc. Food Service Establishment 110 Cox Creek Pw Florence 41-FS-2412 Jackson

38 store cleaners properly. Abated- cleaners stored properly when reinspected. 9/18/2018 9/21/2018 3

38 store cleaners properly. Abated- cleaners stored properly. 9/18/2018 9/21/2018 3

McDonald's Food Service Establishment 3183 Cloverdale R Florence 41 FS 1878 Jackson

16 dishes not clean to sight and touch 9/17/2018

Riverside Restaurant, Inc. Food Service Establishment 111 East Limeston Florence 41 FS 1935 Jackson

07 maintain cut tomatoes, cut lettuce below 41 F. Abated- all below 41 F when reinspected. 9/18/2018 9/21/2018 3

Sam's Sports Grill Food Service Establishment 339 Seville Street Florence 41-FS-3227 Jackson

15 clean interior of ice bin. 9/19/2018

The Boiler Room Food Service Establishment 315 North Court Str Florence 41 LF 3653 Jackson

27 water capacity not at 100 F in restroom 9/20/2018

Victory Mart Limited Food 2411 Darby Drive Florence 41 LF 3681 Jackson

07 maintain cheese slices at 41 F or below. 9/19/2018

Tuesday, September 25, 2018 Page 1 of 2

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: Rhodes
Bonnie's Kountry Café Food Service Establishment 4266 Hwy 101 Rogersville 41 FS 2543 Rhodes

07 Cheese, cut tomatos and lettuce 51-55 degrees. 9/20/2018

Fat Cats Seafood Food Service Establishment 16283 Highway 72 Rogersville 41 FS 3027 Rhodes

15 Dishmachine not sanitizing. 9/21/2018

Fiesta Mexicana Food Service Establishment 41 Market Square Rogersville 41 FS 2420 Rhodes

38 Label all cleaners. Corrected, 9-21-18 bottles labeled. 9/18/2018 9/21/2018 3

02 No food sevice employee agreement forms. Corrected, forms signed. 9/18/2018 9/21/2018 3

Little Angel Day School Food Service Establishment 1125 Sherrod Aven Florence 41FS-3454 Rhodes

16 Food stem thermometer not accurate. Corrected, thermometer calibrated. 9/19/2018 9/19/2018 0

Rick's Barbecue #12 Food Service Establishment 4280 Florence Blvd Florence 41-FS-3284 Rhodes

07 Milk in small cooler 46 degrees. Corrected, cooler defrosted, food 40 degrees and below. 9/17/2018 9/20/2018 3

Subway Sandwiches & Salads Food Service Establishment 401 North Court Str Florence 41 FS 1976 Rhodes

26 Spray hose at 3 comp sink hangs below rim of sink, needs a backsiphonage breaker or raised 9/19/2018 9/23/2018 4
above rim of sink. Corrected, spray hose replaced, it now hangs above rim of sink.

Walton's Restaurant, Inc. Food Service Establishment 1205 Highway 101 Rogersville 41 FS 2019 Rhodes

16 Spray arm at 3-comp sink below flood rim. Spray hose replaced, raised above rim of sink. 9/18/2018 9/21/2018 3

07 Food in walkin cooler and reach in cooler 51 degrees. Cooler repaired, food 41 degrees. 9/18/2018 9/21/2018 3

Tuesday, September 25, 2018 Page 2 of 2