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Okaloosa County BOCC — February 11, 2013 — Food Service Insp 004 — reading text
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_ STATE OF FLORIDA
DEPARTMENT OF HEALTH
PURPOSE: COUNTY HEALTH DEPARTMENT
Wr ROUTINE LS) REINSPECTION FOOD SERVICE
INSPECTION REPORT
CONSTRUCT.
COMPLAINT
= CHANGE OF OWNER
= CONSULTATION
ES QASURVEY Do OTHER
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- NAME OF ESTABLISHMENT Okol ooScy County To |
-appress IZ9O €. Janes lee Bho. ary _Creshieo
OWNER va) kato. Counsu Dept. Correcpagn> 27 53a i Correct Violations by
= : by
| PERSON IN CHARGE GAT Slocum] Deloria PHONE 220 GR9-SW0 | am Next Inspection |
on a 00 AM on:
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TET SIONY
10 Ue IZ-AD BY.
— Satisfactory
1
‘3 Incomplete
C= Unsatisfactory
“POSITION # | |. CERTIFICATE NUMBER TYPE
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(1285 dss G29: 293-838: @oc@ thts} | | > OUT OF BUSINESS
ia Stems ‘marked belaw violate: the. requirements of Chapter 64E-11 of the Florida Administrative Code and must be corrected: Continued ‘operation on of
without making’ thesé corrections is.a violation of Chapter 64E-11, Florida Administrative Code and:Chapters 381; and 386, Florida Statutes. t
; corrected ‘by the date and time indicated in the Results section above or.an administrative fine or other. legal action will: be initiated,
FOOD SUPPLIES Too 14. Sneeze guards (> 27. Design and fabrication OTHER FACILITIES |
Cot. Sources. ete. (3 15. Transportation cf foed (oI 28. Installation and location AND OPERATIONS
FOOD PROTECTION 3 16. Poisonous,Toxic materials C4 29. Cleantiness ofequipment oo 39, Other facilities and operations
C4 2. Stored temperature PERSONNEL TC 30. Methods of washing TEMPORARY FOOD
(™ 3. No further cooking Rapid cooling (2 17. Exclusion of persennei SANITARY FACILITIES SERVICE EVENTS
leads 4. Thawing 7 US. Cleantiness AND CONTROLS TJ 40. Temporary food service events
co . Raw fruits Ca 19. Tobacco use > 31. Water supply VENDING MACHINES
fo 4. Pork cooking C1 20. Handwashing —™ 32. Ice m1) 41, Vending machines
C2 7. Poultry cooking co 21. Handling of dishware Co 33. Sewage MANAGER CERTIFICATION
C2 8. Other animal cooking EQUIPMENT/UTENSILS 5 34. Plumbing om 42. Manager certification
C3 9. Least contact/Rehealting C7 22. Refrigeration facilities’ Thermometers (™ 35. Toilet facilines CERTIFICATES AND FEES
(10. Food container Ca 23. Sinks 1 36. Handwashing facilities C3 #43, Certificates and fees
C11. Buffet requirements Cra 24. Ice storage Counter-protector [21 37. Garbage disposal INSPECTION/ENFORCEMENT
(7312. Selt-service condiments ) 25. Ventilation/Storage/Sulficient equipment (© 38. Vermin control om 44. Inspection/Enforcement
(2513. Reservice of food (ae 25. Dishwashing facilities Reba og POI’ : e
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ITEM COMMENTS AND INSTRUCTIONS Bor or ae oCRR Qua
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HEALT#H DEPARTMENT INSPECTC
COPY OF REPORT RECEIVED BY: SSS
~~
DH Form 4023. 1/05 (Obsoletes Previous Editions) SN
DATE:
CHD/HEADQUARTERS