HomeMy WebLinkAboutChamas Grill water main break report - Inspection - 115 MAIN STREET 5/21/2019 THE COMMONWEALTH OFMASSACHUSETTS
.......... TOWN OF NOR ANDOVER
Nortli,Andover,Ma,ssaclmsetts 01845
Division of Food,and Drugs Phone-978.688l.9540
FOlOD ESTABLISHMENT INSPECTION REPORT fax - 978.688.9542
e-mail. h
Name of Establishmen't Date TvA ot'o 0 to
L)erati Type of Inspec ton
C tov��G ro 5/ \
Food Service Routine
. r Risk Teel F1 Retail. R -i�� ct o
MW .on
TelephoneIF 0 Residential Kitchen Pi-eprous
El Date:
Motile Pre-operation+ °
�u Caterer
01 E] Ternporary
E'suspect Illness
(PICA
Person-in-Charge TimGeneral Complaint
u� �Breakfast
:
ACC
setw �'
Year: vother 6114(#VvIl�A1
j Otit:
Eacli violationchecked tir x 1 n ton on the narrative page(s), n it tin of specific provision(s)violated.
Non-coMfiance with,--
Violations Relatedwith,-Illness,Inteiventions and RlsIkItems, Anti-,Cholkingw , E
Violations marked may pose an imminent h alt hazard and require immediate corrective action as Tobacco 590.009( E]
determtoned by the Board of Health. Allergen Awareness, 590.0109 (G)
FOOD PROTECTION_I MANAGEMENT'Iw Prevention of Contamination from Hands
1. i i , , '
El 13. Handwashing Facilities
EM L 'YEE HEALTH
w
PROTECTION FROM CHEMICALS
Ej w
"14.Approved Food or Collor Additives
Reporting of Diseases by Food Employee and PIC
FOOD FROM APPROVED SOURCE i
SourceEl 14. Food and Watier from Approveld TIMEITEMPERATURE CONTROLS(Potentially Hazardous Foods)
El 5,., Receiving/Condition
6. Tags/Records/Accuracy of Ingredient Statements 17.M 16. Cooking Temperatures
Reheating
Ej 1
7. Conformance with Approved Procedures/HACCP Plans
PROTECTION FROM N " lllN `I
2�0. Time as a Public Health Control
Ej 8. Se�pairationi/Segregatl'on/Pro-t"elctliloin
REQUIREMENT'S FOR HIGH L - ' SCEPTI LE- OPUL TI NS S
El 9. Food Contact Surfaces Cleaning;and Sam izing Ej 21. Food aind Food Preparation for HSP
w dequate Handwashing j
CONSUMER DISR
11. Good Hygienic Practices 22. Posting of Consiumer Advisories
i
Wohatioti,s Related to Good
is r ,
Critic,al (Q_vlolations marked must be corrected immediately f
r within 10 days as etermined by the Board of Health. ,
violationsNon-critical (N) must be corrected immediately,tely or Official Order for Correction. inspection
within 9 days s d �� �{
C
checkedindicate violationbelows, f 1 �1 59 w /f i ral Food Code.This
23. ,ii le m e nt and F ,590 3 y signed Board f Health mier i r r its agent
r+ art
24. Food
ar Protection C-3 9 ,0 ' c istlt tes an order of the Board f Health.Failure to carrectviolations,
ment and Utensils nsil C- 59 05 citedin this,report result i r�s e si r revocation of the food '
establishment permit and cessation of food establishment operations. I
2AWater, Plumbing and Waste (FC-5)(590.1006) aggrieved this rr, a right to a hearing.' err request rust
27. Physical acil'Ity .C-6)11 '9 .00 a in writing and submitted to the Board of Health at the above address
28. PoisonOUSor Toxin Materials FC. 9n4 n within 101days of recelipt ofthi r ' r.
9. Special Re jLflre en4 590, n 'E OF RIB- NSPEC ll-
30. Other
Insplector's Signature: "' " " ;
W'./V11/1 161111,11,-4/11 el
u
I
Establishment Name'. Date: Page: of
ftem Gode C-Critical item DESCRJPTION OF VIOLATION I PLAN OF CORRECTION Date
No- Reference R—Red Item -.,PLEASE PRINT CLEARLY Vetified
t I N !
n
ri
5La v LA I
�-b
le
Discussion With Person in Charge: Corrgc-tive Action Required: 0- N o
X1 Er C3 Employee Restriction I Voluntary Com p liance
4-z AV +t rN ry 12 Exclusion
-0 Re-Inspeeion Scheduled 0 Emergency Suspension
0 Emergency Closure
13 Embargo
Voluntary Disposal El Other.