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HomeMy WebLinkAboutFood - Annual Mobile - Above the Clouds - Inspection - 723 OSGOOD STREET 1/4/2024 Town of North Andover 7/6 120 Main Street Health Department Tel. (978) 688-9540 FOOD ESTABLISHMENT INSPECTION REPORT ........... ....... Establish tre Date: Type of Operation(s) Type of Inspection " I,t .......DFood Service, Temporary -1 Routine El Suspect Illness .............. Address: Risk level-" J�eaiil H Caterer -1 Re-inspe,;Iion El Complaint M. B&B :17 Pre-operafirin E3 HAC(,,P b le F1 :1 Other HACC N -1 Residen6al Kitchen Telephone -, 7 _ -S ............. . ......... ....... Owner: Time iri Number of Foo,dbome Number of Repeat' 0, Illness-Related Foodborne Illness. Violations.(!-?9 iiI ............ ......... _Z L 9)__0 vt Re-Inspection Date: PIG „ Number ----------.......... IN in corn rjqLj9fTjicabIe N/0 not observed COS corrected on-ste dulin Lns�aeqtuqn R 12pe ........... area Hance LIS IN OUT N/A N/0 COS R C Status IN OUT WA Person-in-charge present,demonstrates Compliance aaitPr varwanae I specialized and performs duties Certifioct od Protection Manager I Im; IN ed... His EMM" 3 Managennent,food employee and 31 Water&ice from approved source conditional employee:knowledge, 32 Variance obtained V a and rel ort 4 Paper use of restriction and exclusion __E2P9. ­.......­__. 33 Proper cooling methods used:adequate 5 Procedures for responding to vomiting and diarrheal events ..9cLLjipMertt for temple rature aantrol 34 Plant food_pL9pe�[ly qt hoIdin_,�ookecl aethods us RL,!j ,, 5 Proper g,tasting,,drinking,&tobacco use � 36_ Thermometers orovided arid accUrrate nose„7 No eye, and mouth discharge 37 Food II,perl labeled; final I I I I I TO!I I 8 Hands dean j,and propt,�jy washed Ell 36 Insects,rodents,&animals notpItsent __w No bare hand contact with R'rE food 39 Contamination prevented during food , 10 Adequate/s up plied han ,paration stoneand dispdwashing sinks 40 MONTH= Personal cleanliness 11 Food obtained from ap 41 Wij2i.9A_clqhs..jjr9p usqq,wid stored _p,Lqved source 42 12 Food re eivect aroppt teraaperature 13 ME Food received in good condition,safe, S V 43 In-use utensils rl y�sjqI t I and Unadulteraed ........ 44 Utensils,equipment and linens:properly t4 Required records available shellstock stored,dried,arid handled tags,parasite destruction ' 45 Single-use I single-service arfides': M E _....pLqp storeA.and used 15 Food rated ±!jy_ ._­­ — ................... ........... 46 Gloves Used properly 16 Food-contact surfaced cleaned& M I E sanitized 47 Food and non-food contact surfaces 17 Prober disposition of returned, cleanable,property designed, previously served, reconditioned and constructed and used unsafe food 48 Warewashing facilities:installed„ maintained,and used test stijils. 18 _Ef2per cq2!�Ing.jime.and ten.n.peratures -food contact surfaces cle It 4q, Non Im 1 a 19 Proper reheating procedures 20 _V11 50 Hot and c�,i�qlltng time and le i.�atuLq old water�addeqkjate,pre�ss�rt...._yj ....... 21ProfferV 51 Plu bj!2g�ijL ! ............ �tal 22_ uLem. 52 Sew &waste water p 11y clsecl 21 _Era Toitet features(Lq!e kin siti��n V 53 qi p _ff_2. .......... ..... .................... —-—--__-- 24 Time as a Public Health Control V 64 Garbage and refuse properly disposed; facilities maintained ...........I 25 Consurneradviso rovided 55 Physical facilities installed,maintained, and clean I ........... 26 Pasteurized foods used,prohibited 56 Adequate ventilation and lighting; est noted I areas used used foods not offered I I a 1 IHM!M31, MI Anti-choki pEq��Iures 27 Food additives ........... M2 Food allergy a,wareness 'i.. ­1 ­-1-1­111.. ........... Toxic substances - .. - I ...... Official Order for Correction Based on an Inspection today,the tenis marked"OU V"indicated violations to 105 CMR 590.000 and applicable sections of the 2013 FDA Food Code ThIs report,when signed below by a Board of Healffi member or Its agent constitutes an order of the Board of Health,Failure to correct violations wed In this report may result in si.mpension or evocation of the food establishment permit and oessafion,of food establishment operations If aggrieved by this order,you have a right to a hearing.Your request must l�t_n _Mthiaj r Rtipt of thus order PIC's signaftue� n_speC10rs­s­i_g,—ratura: ?o Date: Pa ge 1 of .............. .............. Food Establishment Inspection Report - Town of North Andover ----—-------- Estab1ish!je:nvM ate: Page of..-7... .. .......... rature Observations Item/Location Tern F: Item I Location Temp,,,r................. Item t Location Temp!1 01L ----------------------------- ...... ....................... ............ ...... . ............... ................... ------- ............. ........... .. ..................... .......... ------------- Observations and/or Corrective Actions ..........+— "- Violation: cited in this rtjejq must be corrected within the time frarnes stated below or in Section 8-405,11 of the Food Code tern Section of Code Description of Violation Date to Correct By Number ...................... ......... --MA ................... ...... ........................................ ............ 15� . .. ti 74TF,41 .1 wd�K "e .............., I .. 4 --- .......... ............... ................................................ ........ ......... ............. --------- .. ...................... ----------- .........------ ----------------- ................. Signature of ...................... ------- .......................... ............... ................ ........... .................. ................ ......................... ................ .................................. ....................... ............................... ---- ......................... ........... ------------ .............. ............................ ------ ------- .......... ................ ............ ........... ............... ........... ........ .. ...................... ......---- .................. --Person-in-Charge: ,42= Date.: Date ;... .............. S ignature of Inspector: ......................... ......_____................ ....................