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<br />DEPARTMENT OF BUSINESS AND
<br />PROFESSIONAL REGULATION
<br />DIVISION OF HOTELS AND RESTAURANTS
<br />LEGAL NOTICE
<br />FOOD' SERVICE INSPECTION REPORT
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<br />
<br />Owner
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<br />/J \ v'2. fy),,:\ f I'1TC,\J ~N( (
<br />:;~, 7 q ..., 0 Nleo
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<br />Address
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<br />Restaurant
<br />General 0
<br />
<br />Number or Seats
<br />
<br />Seating
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<br />Que E'/.-
<br />ZIP-;?""r.
<br />::;,<...,,>'1
<br />INSPECTION TIME
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<br />R
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<br />Caterer 0 Vending 0
<br />Temporary 0 MFDV 0 TPFC 0
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<br />o Violations in the operation of your o WARNINC: Violations in the 0 WARNINC OF DIRECT D NOTICE TO snow CAUSE:
<br />establ ishmenl must be correc:ted by the operation of your establishment must be NOTICE: Failure to be in compliance Yau will be iuucd a Notice to Show Cause
<br />NEXT ROUTINE INSPECTION correc:ted by: with this notice at any fUture inspection why sanctions sbouJd DOt be u.scacd Ipinsl
<br /> MO DAY may result in a direct Notice 10 Show your license:. A hcarina will be held Ila time
<br /> - and place to be cIcIillftllcd by the Director.
<br /> 199 - Cause.
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<br />FOOD EQUIPMENT.. UTENSILS
<br />o 14 Food ( ice) con1.ac\ aurf'aces: cIcIisned. conslNc\cd,
<br />mainl&ined, inslaJled. located
<br />o 15 Non-(ood con1.ac\ aurf'1C:CS: cIcIisned. conslNc:lcd,
<br />mainl&incd, insl&Jled, located
<br />o 16 DishwlShinl (acilities: desilned, constl'\lcted,
<br />maintained, inslallcd,locIlcd, opcnICd
<br />o J 7 AcanIC \hcnnomel.cn, chemical lest ki~ proVldcd,
<br />puge coole (1/4. IPS valve)
<br />Pre- ushed, scnpcd, soaIced
<br />W uh.. nnsc water. clean, proper LernpcralUre
<br />SaniUZI1Ion nnsc: clean, lcmpcralUtc, concentration,
<br />exposure time; cquipmcnl, utensils sanitized
<br />21 Wipinc cloths: clean, use reslriClcd, stored 0 37
<br />22 Food canlad...n1CCl o( equipment and ut.ensib clean,
<br />1tec o( abrasives, det.eraenls
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<br />Items marked with an ASTERISK (e) are arcu of CRITICAL CONCERN in the operation of your e.tabli.hment.
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<br />FOOD
<br />o-~; Source: sound condition, no spoilllle
<br />IT Ori&inal canla1ncr: properly labeled
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<br />FOOD PROTECTION
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<br />a03
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<br />POlcnlillly hlurdous (ood mccts temperolurc
<br />rcquircmcnla durinc slofllle, preparation, displlY,
<br />service. lnnsport&tion
<br />04 Facilities to maintain productlcrn ratwe
<br />OS ThcrrnomcLen provided and conspICUOUS
<br />06 POLenlil1l hazardous (ood proper thawed
<br />07 Unwrapped and polenlillly hazarclous Ood not rc.
<br />served
<br />o 08 Food prOlcction during slonie. preparation, display,
<br />service, transportation
<br />09 Handling o((ood (ice) minimized
<br />10 In use. (ood (ice) dispensilll utensils properly slofcd
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<br />PERSONNEL
<br />II Pcrsonnc:l with infections restricted
<br />12 Hands washed and clean, good hygienic practices
<br />13 Clean clOlhcs. hair rcstrainb
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<br />023
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<br />WATER
<br />[l" 27 WiLer source, safe: hoc&: cold under pressure
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<br />SEWAGE
<br />rl" 28 Scwllle and waste Wiler disposal
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<br />PLUMBING
<br />29 Installed, maintained
<br />30 Cross-connect,on, bacle SlphonagC, bac' ow
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<br />GARBAGE" REFUSE DISPOSAL
<br />o 33 Containers or reccpcacles, c:ovacd: adequate number,
<br />inscc:llrodcnt proof. (requency, clean
<br />o 34 Outside Ilon&e area enclosures properly constNctcd,
<br />clean; controlled incineration
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<br />L"ISECT, RODENT, ANIMAL CONTROL
<br />cr 35 Prcscnc:c 0( insec:tslrodenls-oulcr of'C/Ull8S ~
<br />no birds, turtles, other animaJs
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<br />FLOORS. WAUoS" CEILINGS
<br />o 36 Floors: ~ lhined,elell\ pldrepair. covaina
<br />inslaJlation, duslless clcanin& methods
<br />Walls, ceilana. attached cquipmcnc constNclcd, lood
<br />repair, clean .unaccs, dustless dcaning mctbods
<br />
<br />UGHIlNG
<br />n 3. LIJl/ltinc provided as required. flXl\lres shielded
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<br />VEN1U.AnON
<br />n 39 a-ns and equipment-vented as required
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<br />DRESSING ROOMS
<br />o 40 a-nsclean, IoclccnproYIlIed,(acll,ties~leII\ locIlcd,
<br />used
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<br />OnJER OPERATIONS
<br />41 TOXIC ILemI properly Ilored, abcled, UIcd, ncccssary
<br />42 Prc:rruSCSmaintalncd, ceonUla',UIVleCC:ISaIyartICIes,
<br />c1canilll maintenance cquipment properly .torcd,
<br />authorized pcnanncl
<br />o 43 Complcsc separation from livin&/sleepll1l qua/1a's.
<br />Laundry (acilities maintained
<br />n 44 Clean, soiled linen properly slofed
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<br />SAFETY
<br />r- 10 45 Fin: cxtin&uish and sulTlCient
<br />46 ExitJn& aood repair
<br />47 Elcctncal uate,
<br />10 41 Ou applianccs-propc:rly inat&lled, IIIIInla1ncd
<br />po 49 F1anvnablclc:ombustible mat.erials -DrODCrlY stored.
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<br />GENERAL
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<br />~ SO ~~ccnsc~~I~
<br />S I Other -.di~lIry e apcrabon.
<br />52 F~ IlaLemcnlS-plb ishcd or advatiscd
<br />rclal' to (o6cIIbcvcn&c
<br />Food manaacmcnt tClllon valid
<br />Clean Air Ad.
<br />AuIomalie CntWly Notice
<br />Ch. , F.S.. avadable
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<br />JNFORMATION
<br />n 57 HEP InConnation Rcqucsled
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<br />COMMENTS ON ADDENDUM
<br />APPROVED...PRIOR TO OPENING, CONTACT DIVISION OF HOTELS AND RESTAURANTS TO OBTAIN LICENSE.
<br />phone
<br />o New Facility 0 Change ofOwncnhip 0 Out oCBusincsa Beverage License No Type
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<br />I acknowledge receipt of this inspection form and comments.
<br /> , .-/> 7)~,'1 ..
<br />Signed ~:::/-; Served by /' ~ ,,, ,"-\ -'I .~, " Title -;-. f) S.Ij
<br />f;;:/ .- .~1'". .c I /~!....,.'#");~ //; ,.-'~.... '> )
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<br />Title / "'Date \. ""..../;/ Office Phone ~ __A-;',) , 0 Date --' ; .r .~
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<br />BPR 22-015
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<br />Rev. 09-02-93
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