Critical Item History - ALL
Name of Est Nature Business Street City/Town Permit
Number
Critical Item Description Inspected By
Date C I Marked Follow-up Date LAG Time:
Designated Employee: Warner
Jack's Family Restaurant #204 Food Service Establishment 485 Highway 72 W Tuscumbia 20 FS 1916 Warner
27 no paper towels at hand sink--now supplied 5/20/2019 5/24/2019 4
15 pans not clean; onion dicer dirty; mold in ice machine--all cleaned 5/20/2019 5/24/2019 4
Sprint Mart #40 Food Service Establishment 21731 Highway 72 Tuscumbia 20-FS-1582 Warner
7 pizza meat out of temp-- 5/22/2019
6 chicken fingers out of temp-- 5/22/2019
2 no one currently posseses food safety certificate-- 5/22/2019
The Mixer, LLC Food Service Establishment 215 N. Nashville A Sheffield 20 FS 2913 Warner
15 mold in ice machine--cleaned 5/20/2019
Williams Chevron Inc Food Service Establishment 201 E. 6th Street Tuscumbia 20 FS 2906 Warner
25 large grease spill at grease can--area cleaned up 5/20/2019 5/24/2019 4
Tuesday, May 28, 2019 Page 1 of 1