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Home My WebLink AboutMiscellaneous - 490 MAIN STREET 4/30/2018 (5) ?IzzA mAZO260 bEo%MT i 09/17/2014 14:55 6174720706 GL LABS PAGE 02/02 G .& L Laboratories + Water Analysis + Food/Seafood Analysis + Metals/Chemical Analysis + Microbiological Testing 246 Arlington Street, Quincy, MA 02170 Tel: (617) 328-3663 Fax: (617) 472-0706 REPORT Lab.ID#• 69547 Report Date: 9/17/14 Attn: Caitlin Landry Sal's Pizza 490 Main St_ North Andover,MA 01845 Sample Received Date/Time: 9/8/14,4:50 PM Sample Received Temperature:-3.0°C Sample Collected'Date/Time: 9/8/14, 1:40 PM Sample Collected By: S.R. (G&L Labs) Sample Analyzed Date/Time: 9/10/14, 2:00 PM Sample Identification: One(1)frozen dessert sample labeled: 1)Vanilla TEST METHOD:A.P.H.A.STANDARD METHOD TEST RESULTS: SAW E# TOTAL COLIFORM ST ARD PLATE COUNT (CFU/g) (CFU/g) 1) < 1 ECC <2500 ESPC Bacteriological Standard for 50 50,000 Frozen Desserts LAB RATORY QUALITY CONTROLS: All samples were:Found to be properly cooled upon receipt. All analyses were performed within A.P.H.A.designated holding-times.Pipet, dilution water,agar,air density at the plating are negative.Agar temperature at the plating is 44.0°C. ECC;Estimated Coliform Count ESPC:Estimated Standard Plate Count cc:Chelmsford Board of Health Report reviewed R and approved by: Lab.Director Signed Date �'"�"�'► � ��sZso 'o :Wdc � os 'daS ;WI.1 pamass � G & L Laboratories ♦ Water Analysis ♦ Food/Seafood Analys s ♦ Metals/Chemical Analysis ♦ Microbiological resting 246 Arlington Street, Quincy, MA 02 17 3 Tel: (617) 328-3663 Fax: (617) 472-0706 REPORT Lab.ID 9: 69106R Report Date:8129/14 Atm:Caitlin Landry Sats Pizza 490 Main St. North Andover,MA 01845 Sample Received Date/Time: 8/8/14,7:00?D I Sample Received Temperature;-2.7 IC Sample Collected Datetrime: 9/g/14,2:55 I>pl Sample Collected By: S.R.(G&L:-1 bs) Sample Analyzed DatelTime: 8/9/14,3:25 ]??1 Sample Identification: One(1)frozen dessert sample labeled: 1)Vanilla Scft Serve TEST METHOD: A.PILA.STANDARD ME'MOD TEST RESULTS: S,q�L OTAL COLIFORM STANDARD PLATE COUNT (Mia) (CFU/g) l) < l ECC <2500 ESPC Bacteriological Standard for SO 50,000 Frozen Desserts LABORATORY QUALITY_ CONTROLS: All samples were found to be properly cooled u)on receipt.All analyses were performed within A.P.H.A.designated holding-times.Pipet,dilution water,agar,sir densii y it the plating are negative.Agar temperature at the plating is 44.0°C. ECC:Ertitnated Coliform Count ESPC.Eetlmated Standard Plate Count cc:North Aadover BOH W l U- 14 Or-49 SCP� Report reviewed and approved by: �7 F-6-n L�\ 001,IG OVS Lab.Director Signed Date TO/T0 39dd VZZId S-1t7S VSKV68£09 60:TT bTOZ/£0/60 08/29/2014 15:52 6174720706 GL LABS PAGE 04/04 - " GSL Laboratories ♦ Water Analysis t Food/Seafood Analysis ♦ Metals/Chemical Analysis ♦ Microbiological Testing 246 Arlington Street, Quincy, MA 02170 Tel: (617) 328-3663 Fax: (617) 472-0706 REPORT Lab.ID#: 69106R Report Date: 8/29/14 Attn: Caitlin Landry Sals pizza 490 Main St. North Andover, MA 01845 Sample Received Date/Time: 8/8/14, 7:00 PM Sample Received Temperature:-2.7°C Sample Collected Date/Time: 8/8/14,2:55 PM Sample Collected By: S.ki_(G&.L Labs) Sample Analyzed Date/Time: 8/9/14, 3:25 PM Sample Identification: One (1)frozen dessert sample labeled: 1)Vanilla Soft Serve TEST METHOD: A..F.II.A. STANDARD METHOD TEST RESULTS: SAMPLE#f TOTAL COLIFORM STANDARD PLATE COUNT (C1:U/g) (C-FU/9) l) < 1 FCC <2500 FSPC Bacteriological Standard for 50 50,000 I Frozen Desserts LABORATORY QUALITY CONTROLS: All samples were found to be properly cooled upon receipt.All an4yses were performed within A..P.h1.A. designated holding-times.Pipet,dilution water, agar,air density at the plating are negative. Agar temperature at the plating is 44.0°C. ECC.Estimated Coliform Count ESPC:Estimated Standard Plate Count cc:North Andover 000 r- Report reviewed and approved by: Lab_Director Signed Date I I 08/29/2014 15:52 6174720706 GL LABS PAGE 01/04 7� G & L Laboratories ♦ Water Analysis +Food/Seafood Analysis ♦Metals/Chemical Analysis +Micxobiological Testing 246 Arligton Street,Quincy,MA 02170 Tel-(617)328-3663 Fax,(617)472-0706 xr�;,1.,. FACSIMILE TRANSMITTAL SHEET To: Ms. Susan Sawyer Date: DA I Company: N. Andover Board of Health Tel: 978-688-9540 Fax.: 978-688- 9542 From: O Raw Data Reports U' ab Report ❑For Review ❑Reply ASAP ❑Other Remarks: For samples received on please contact to us if you have any question. NUMBER OF PAGES: (NOT INCLUDING THIS ONE) I 08/29/2014 15:52 6174720706 GL LABS PAGE 02/04 G & L Laboratories + Water Analysis + Food/Seafood Analysis + Metals/Chemical Analysis + Microbiological Testing 246 Arlington Street, Quincy, MA 021.70 Tel: (61.7) 328-3663 Fax: (617) 472-0706 REPORT Lab. ID#:68536 Report bate: 8/29/14 Attn: Caitlin Lattdty Sals Pizza 490 Main St. North Andover,MA 01845 Sample Received Date/Time: 7/11/14, 6:30 PM Sample Received Temperature:-0.6°C Sample Collected Date/Time: 7/11/14,2:00 PM Sample Collected By: S.R. (G&L Labs) Sample Analyzed Date/Time: 7/13/14, 3:00 PM Sample Identification: One(1)frozen dessert sample labeled: 1 )Vanilla Frozen Yogurt TEST METHOD;A,P.H.A.STANDARD METHOD TEST RESULTS: SAMPLE# TOTAL COLIFORM STANDARD PLATE COUNT (CFU/g) (CFU/g) 1) < l ECC 120,000 Bacteriological Standard for 50 50,000 Frozen Desserts LALBQgATORY QUALITY CONTROLS: All samples were found to be properly cooled upon receipt_All analyses were performed within A.P.H-,A..designated holding-times.pipet,dilution water,agar, air density at the plating are negative.Agar temperature at the plating is 44.0 °C. )ECC:Estimated Coliform Count cc.North Andover 13OR i WAl� Report reviewed - and approved by: (t Lab_Director Signed Date q, �� Pago o�i 08/29/2014 15:52 6174720706 GL LABS PAGE 03/04 - " G & L Laboratories + Water Analysis + Food/Seafood Analysis + Metals/Chemical Analysis + Microbiological Testing 246 Arlington Street, Quincy, MA 02170 Tel: (617) 328-3663 Fax: (617) 472-0706 REPORT Lab.ID 4: 68945 Report Date: 8/29/14 Attn: Caitlin Landry Sals Pizza 490 Maim St. North Andover,MA 0184$ Sample Received Date/Time: 8/1/14,4,25 PM Sample Received Temperature:-4.3C Sample Collected Date/Time. 8/l/14,3:30 PM Sample Collected By: S.R. (G&L Labs) Sample Analyzed Date/Time: 8/1/14, 5:00 PM Sample Identification: One (1)frozen dessert sample labeled: 1 )Vanilla TEST METHOD: A.)P.H.A.STANDARD METHOD TEST RESULTS: SANT TOTAL COLIFORM STANAARD PLATE COUNT (CFU/g) (CFU/g) 1) >450* ECC 72,000* Bacteriological Standard for 50 50,000 )Frozen Desserts LABORATORY QUALITY CONTROLS: All samples were found to be properly cooled upon receipt.,All analyses were performed within A.P.H.A.designated holding-times.Pipet,dilution water,agar,air density at the plating are negative.Agar temperature at the plating is 44.0°C. k:Exceed the Standard ECC:Estimated Coliform Count cc:North Andover BOH Report reviewed and approved by: Lab.Director Signed Date Page 1 of i 06/.psi 914 13:34 6174720706 GL LABS PAGE 02/03 ■ G & L Laboratories ♦ Water Any Analysis ♦ Food/Seafood Analysis ♦ Metals/Chemical Analysis ♦ Microbiological Testing 246 Arlington Street, Quincy, MA, 02170 Tel: (617) 328-3663 Fax: (617) 472-0706 REPORT Lab.TD#: 67638 Report Date: 5/29/114 Attn: Ms. Caitlin Landry Sal's Pizza 490 Main St. North Andover, MA 01845 Sample Received Date/Time: 5/21/14,4:50 PM Sample Received Temperature:-1.6°C Sample Collected Date/Time: 5/21/14,2:10 PM Sample Collected By; S.R.(C&L Labs) Sample Analyzed Date/Time: 5/21/14, 6:10 PM Sample Identification; One(1)frozen dessert sample labeled: 1 )Oreo Frozen Yogurt TEST MITHOD:A.P,U A.STANDARD METHOD TEST RESULTS: # TOTAL COLI FORM STA�i UNT _ARD PLATE C (CFU/g) (CFU/g) 1) < 1 ECC <2500 ESPC Bacteriological Standard for 50 50 000 Frozen Desserts II LABORATORYUALILI Y CONTROLS: All samples were found to be properly cooled upon receipt.All analyses were performed within A.P.H_A.designated holding-tunes.Pipet,dilution water,agar,air density at the plating are negative.Agar temperature at the plating is 44.0°C. ECC:Estimated Coliform Count EBPC:Estimated Standard Plate Count cc:N.Andover ROH Report reviewed and approved by: Lab. Director Signed Date Page 1 of I Cn — # G & L LAB I.D. #: 6416,3CD ►iCHAIN OF CUSTODIA RECORD Laboratories CD DUE DATE: 246 Arhngton Street,Quincy,MA 02170 (LD'j Tel: (617)32B-3663 Fax: (617)472-0706 Q a COMPANY: �A 1 ?�� SAMPLE TYPE CONTAINER TYPE ANALYSES 2 � Q0.{" t:� 1 WATER P- PLASTIC ADDRESS: � 2 SOIL G-GLASS . ti-i} [ _\1 3 SLUDGE V-VOA PHONE#: $`—� �� FAX#: 5 TISSUE P.O. #; 6 DRINKING WATER CLIENT CONTACT: OTHER PROJECT IDILOCATION: S�l��►� �� SAMPLE SAMPLE CONTAINER SAMPLING PRESERVATIVE COMMENTS IDENTIFICATION TYPE SIZE TYPE # DATE TIME 20 h �. v LO w a J J C7 R LD 0 NOR m t CV N `DDISH DATE: REGE D BY: DATE: Z-- - �1 - 1¢ SPECIAL INSTRUCTIONS s _ f� RUSH, -,", BUSINESS DAY TURNAROUND TIME: TIME: Z ° ROUTINE cn RELI SHED BY: RECEIVED BY: DATE: ?J1 - f Sample Disposal Information TIME: TIME: -gyp Are there any other known or suspected - `� contaminats in these samples other than r RELINQUISHED BY. DATE: - - RECEi�E[)FOR IAB BY: DATE: - arose listed above? TIME: - _ TIME: - - ❑ Yes fl No If Yes, fist known CSD METHOD OF SHIPMENT w G & L Laboratories 4 Water Analysis 4 Food/Seafood Analysis 4 Metals/Chemical Analysis ♦ Microbiological Testing 246 Arlington Street, Quincy, MA 02170 Tel: (617) 328-3663 Fax: (617) 472-0706 REPORT Lab.ID#: 67638 Report Date: 5/29/14 Attn: Ms.Caitlin Landry Sal's Pizza DECEIVED 490 Main St. North Andover, MA 01845 JINN 042014 Sample Received Date/Time: 5/21/14 4:50 PM TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Sample Received Temperature:-1.6°C Sample Collected Date/Time: 5./21/14,2:10 PM Sample Collected By: S.R. (G&L Labs) Sample Analyzed Date/Time: 5/21/14,6:10 PM Sample Identification: One(1)frozen dessert sample labeled: 1 )Oreo Frozen Yogurt TEST METHOD: A.P.H.A.STANDARD METHOD TEST RESULTS: SAMPLE# TOTAL COLIFORM STANDARD PLATE COUNT (CFU/g) (CFU/g) 1) < 1 ECC <2500 ESPC Bacteriological Standard for 50 50,000 Frozen Desserts LABORATORY QUALITY CONTROLS: All samples were found to be properly cooled upon receipt.All analyses were performed within A.P.H.A.designated holding-times. Pipet,dilution water,agar,air density at the plating are negative.Agar temperature at the plating is 44.0°C. ECC:Estimated Coliform Count ESPC:Estimated Standard Plate Count cc:N.Andover BOH Report reviewed � - 6N,tt and approved by: Lab. Director Signed Date Page I of I C� N Z� G & L LAB I.D. #: 6163 T CSF CUSTODY Laboratories CHAIN 246 Arlington Street,Quincy,MA 02170 DUE DATE: Tel: (617)328-3663 Fax:// ( (617)4722-0706 COMPANY: 3{ t'►2L-zt SAMPLE TYPE CONTAINER TYPE ANALYSES ADDRESS: GHQ t-a M0-t t,. } 1 WATER P- PLASTIC 2 SOIL G-GLASS CndLVg 4k1&sqVP�",, IH IA�0# -&- 3 SLUDGE V-VOA PHONE#:__ G FAX#: 4 OIL 5 TISSUE P.O. M 6 DRINKING WATER \* CLIENT CONTACT: CGAi+t'i 1-1 t--Q-'r:ci r A OTHER PROJECT ID/LOCATION: �t SAMPLE SAMPLE CONTAINER SAMPLINGS PRESERVATIVE ` J COMMENTS IDENTIFICATION TYPE SIZE TYPE # DATE TIME 2t) r 4 a t UISH DATE: � '^- f - RECC ED 8Y: DATE: — - - SPECIAL INSTRUCTIONS TIME: y- i - TIME: .� _ I a _ /'RUSH, ....... BUSINESS DAY TURNAROUND RELI SHED BY: RECEIVED BY: DATE: - 2, - �C4 C ROUTINE Sample Disposal Information TIME: .- - TIME: - - Are there any other known or suspected RELINQUISHED BY: DATE: - - RECEIVED FOR LAB BY: DATE: _ _ contaminats in these samples other than those listed above ? TIME: - TIME: - - ❑ Yes ❑ No If Yes, list knowntil METHOD OF SHIPMENT 07/11/2014 17:34 6174720706 GL LABS PAGE 02/02 G & L Laboratories + Water Analysis + Food/Seafood Analysis + Metals/Chemical Analysis + Microbiological Testing 246 Arlington Street, Quincy, MA 02170 Tel: (617) 328-3663 Fax: (617) 472-0706 REPORT Lab.lI)#:67859 Report Date: 7/10/14 Attn:Caitlin Landry Sals Pizza 490 Main St. North Andover,MA 01845 Sample Received Date/Time: 6/6/14, 6:15 PM Sample Received Temperature:-1 TC Sample Collected Date/Time: 6/6/14, 1:55 PM Sample Collected By: S.R. (G&L Labs) Sample Analyzed Date/Time: 6/7/14,2:40 PM Sample Identification: One(1)frozen dessert sample labeled: 1 )Cookies&Cream TEST METHOD:A.P.H.,A,.STANDARD METHOD TEST RESULTS: SAMPLE# TOTAL COLIFORM STANDARD PLATE COUNT (CFU/g) (CFU/9) 1) < 1 PCC 24,000 Bacteriological Standard for 50 50,000 Frozen Desserts QUALITY CONT : L,AJs�IRATORY• ��LS All samples were found to be properly cooled upon receipt.All analyses were performed within A.P.H.A,designated holding-times.Pipet,dilution water,agar,air density at the plating are negative.Agar temperature at the platting is 44.0°C. ECC:Estimated Coliform Count cc:N.Andover BOB Report reviewed and approved by, Lab. Director Sighed Date Page t of 1 `p U14114 i NUMBER • �w '' ,6+s COMMONWEALTH OF MASSACHUSETTS BHP-2014-0583 ' North Andover • BOARD OF HEALTH FEE $40.00 Sal's Just Pizza DATE ISSUED NAME June 04,2014 490 MAIN STREET --------------------------------------------------------------------------------------------------------------------------------------------------------------------- ADDRESS IS HEREBY GRANTED A Frozen Desserts Frozen Desserts This permit is granted in conformity with the Statutes and ordinances relating thereto,and expires May 31,2015 unless sooner suspended or revoked. RESTRICTIONS: G&L Labs,Quincy MA ------------------------------------------------------------ BOARD OF "------------- HEALTH NOTES: Taylor 338 !y --------- ------ ------------------------------------------------------------ ------------------------------------------------------------ BOARD OF HEALTH CHAIRMAN ,. COMMONWEALTH OF MASSACHUSETTS NUMBER • {rtF,n%+sBHP-2014-0583 ` North Andover • BOARD OF HEALTH FEE $40.00 Sal's Just Pizza DATE ISSUED NAME June 04,2014 490 MAIN STREET ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ADDRESS IS HEREBY GRANTED A Frozen Desserts Frozen Desserts This permit is granted in conformity with the Statutes and ordinances relating thereto,and expires________________May-3-1,201-5------------- __unless sooner suspended or revoked. RESTRICTIONS: G&L Labs,Quincy MA ------------------------------------------------------------ BOARD OF ----------------------------------------------------------- HEALTH NOTES:Taylor 338 ----------------------------------------------------------- ------------------------------------------------------------ - -- - - -------------- RDF' RMAN .................................................................................................................................................................... 490 MAIN STREET Reference No: BHF-2002-000105 ................................... Department: Permit No: BHP-2014-0583 ................................... North Andover BOARD OF HEALTH ......................................................................................... Account No: food Fee Type: ................................... Frozen Dessert Receipt No: REC-2014-001442 ......................................................................................... Paid By: Paid in Full On: Mon May 05,2014 ................••-•---••.......... . ..................."............ Double N Inc. ......................................................................................... Check No: 2986 ................................... Received By: Lisa Blackburn ......................................................................................... CUSTOMER'S COPY Amount: $40.00 ................................................................................................................................... ...... ................................................................................................................................................................. 490 MAIN STREET Reference No: BHF-2002-000105 ................................... Permit No: BHP-2014-0583 Department: ................................... North Andover BOARD OF HEALTH ......................................................................................... Account No: food Fee Type: .................................... Frozen Dessert Receipt No: REC-2014-001442 .................................... ......................................................................................... Paid By: Paid in Full On: Mon May 05,2014 Double N Inc. ..................................................................................... Check No: 2986 ReceivedBy: .................................... Lisa Blackburn ......................................................................................... DEPARTMENT'S COPY Amount: $40.00 ................. ..... ........................................................................................................................................................::::.....:......... r ATTN 505AVIA SRu�YE�. TOWN OF NORTH ANDOVER � Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET SUITE 2035 NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540-Phone Susan Y.Sawyer,RENS/RS 978.688.8476-FAX Public Health Director E-MAIL: healthdept@townofnorthandover.com WEBSITE:http://www.townofnorthandover.com APPLICATION FOR LICENSE TO MANUFACTURE FROZEN DESSERTS AND/OR ICE CREAM MIX Date: To the Board of Health of North Andover in accordance with the provisions of Section 65H of Chapter94 of the General Laws, as most recently amended and the regulations made hereunder the undersi ned hereby al2plies for a license for the WHOLESALEIRETAI ma4ROMEMD frozen desserts and or ice cream mix and submits the following information: MAy 0 5 2014 Name of Establishment(DBA): L ZZ C� p.41Qr= H ANDOVER Corporation Name (if different): -Z)c)y ll-TH DEPARTMENT Address: y90 MR�tit Phone: q1S -131 Owner(s)/Operator(s): Type of business: Corporation Partnership Owner Email Address: Please list licenses,permits or registrations issued by other municipal, state or federal agencies: Names of brands and trade or corporation name, if any, under which the products are to be sold: M1A Freezers: Number and capacity of freezers: LH F;�T Mixing Equipment: Make and Model of mixing equipment:TA-,-),_O2 'S3a Age: 3 I , Is the mix purchased? 1�Q vif so,purchased, from whom? t-A � L��t-CO QEy }� ng- 2D 5-j:�-y )I- is the mix pasteurized? y ES Number of gallons of frozen desserts and/or ice cream mix sold as such in Massachusetts, manufactured during the last calendar year: J�o ti E I Food-Frozen Desserts Application-Town of North Andover Page 1 of 2 Cx e Regulations: Do you have a copy of the regulation(s)? �S Is the plant constructed and equipped as provided in the regulations? 1 ES Dairy: Are you manufacturing dairy products? `�/co r/�S ***Please note: Non-dairy frozen desserts do not require bacterial testing *** Testing: What is the approved laboratory,which will conduct monthly bacteria testing? Name: � L U( 5 Address: LD ST Do you understand that the laboratory must submit copies of the results to the Board of Health and the MDPH upon completion of the analysis? y C� Bacteriological limits for frozen desserts are: ➢ Coliform colonies per gram ➢ 50,000 standard plate count per gram 1 hereby certify that the frozen desserts and/or ice cream mix I sell in Massachusetts will be manufactured in compliance with all laws of the Commonwealth of Massachusetts pertaining thereto and all rules and regulations promulgated by the Massachusetts Department of Public Health made hereunder and will be manufactured under sanitary conditions. Authorized i nat re Printed Name FEE: $40 per establishment PAYABLE TO: Town of North Andover LATE FEE AFTER MAY 31�WILL BE DOUBLED TO $80.00 bi P b65 Food—Frozen Desserts Application—Town of North Andover Page 2 of 2 SAUS }PIZZA 2986 Date Invoice Number Comment Amount Discount Amount Net Amount 4/29/2014 CK00298601 40.00 0.00 40.00 Check: 002986 4/29/2014 Town of North Andover - Check Total: 40.00