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: Beard
C. J.'s Grocery Food Service Establishment 14545 Highway 18 Russellville 33FS-2162 Beard

38 spray bottle of bleach not labeled-3 day notice given 5/29/2019

07 prep cooler holding chicken salad, deli meats, c slaw at 46-47-3 day notice given 5/29/2019

Cedar Creek Chevron Food Service Establishment 11477 Hwy 43 Russellville 33FS-2121 Beard

38 spray bottle of cleaner not labeled correctly-labeled and 3 day notice given 5/30/2019

Legacy Chevron Food Service Establishment 13518 Hwy 43 Sou Russellville 33-FS-1988 Beard

38 paper handtowels stored in cabinet with various toxic items-abated by moving to an approved area 5/28/2019 5/28/2019 0

Mama Cortez dba Rancho Viejo Food Service Establishment 11797 Hwy 43 S Russellville 33FS-2161 Beard

38 toxic item stored with food-abated by moving 5/29/2019

Northside Grocery Limited Retail 1328 Waterloo Rd. Russellville 33LR-2214 Beard

16 no food probe thermometer-10 day notice given 5/29/2019

Russellville Hospital Food Service Establishment 15155 Highway 43 Russellville 33-FS-1673 Beard

16 wash solution at manual warewashing not at required 110 F- rules reviewed and 10 day notice 5/30/2019
given

Designated Employee: Warner

Big Star of Russellville Deli Food Service Establishment 314 S. Jackson Av Russellville 33FS-2190 Warner

6 pop corn chicken and asian chicken out of temp in warmer-- 5/29/2019

Little Caesar's Pizza Food Service Establishment 13655 HWY. 43 Su Russellville 33-FS-2085 Warner

26 no backflow preventer on outside hose-- 5/29/2019

2 painted fingernails-- 5/29/2019

Tuesday, June 04, 2019 Page 1 of 1