Standard Inspection Report

Authority Chapters 3717 and 3715 Ohio Revised Code
Name of facility
5TH AVENUE PROVISIONS 		Check one
  FSO    RFE		 License number
    5735		 Date
05-23-2012
Address:  2495 HARRISON RD
                COLUMBUS OH 43204 		Category/Descriptive
COMMERCIAL TEMPORARY
License holder
5TH AVENUE PROVISONS 		Inspection Time (min)
    30		 Travel Time (min)
    0		 Other
0
Type of visit (check)
  Standard       Follow Up       Foodborne       30 Day
  Complaint      Prelicensing    Consultation     Other specify		 Follow-up date
(if required)
 Sample date/result
(if required)
Chapter 3717-1 OAC Violation Checked
Management and Personnel Poisoness and Toxic Materials
  2.1  Employee health
  2.2  Personal cleanliness
  2.3  Hygienic practices
  2.4  Supervision
Food
  3.0  Safe, unadulterated and honestly
 presented
  3.1  Sources, specification and
 original containers
  3.2  Protection from contamination after
 receiving
  3.3  Destruction of organisms
  3.4  Limitation of growth of organisms
  3.5  Identity,presentation on
 premise labeling
  3.6  Discarding or reconditioning
 unsafe, adulterated
  3.7  Special requirements for
 highly susceptible populations
Equipment, Utensils,Linens
  4.0  Materials for construction and repair
  4.1  Design and construction
  4.2  Numbers and capacities
  4.3  Location and installation
  4.4  Maintenance and operation
  4.5  Cleaning of equipment and utensils
  4.6  Sanitizing of equipment and utensils
  4.7  Laundering
  4.8  Protection of clean items
Water,Plumbing, and Waste
  5.0  Water
  5.1  Plumbing system
  5.2 Mobile water tank and mobile
FSO/RFE water tanks
  5.3 Sewage, other liquid
waste and rainwater
  5.4 Refuse, recyclables, and
returnables
Physical Facilities
  6.0 Materials for construction and repair
  6.1 Design, construction and installation
  6.2 Numbers and capacities
  6.3 Location and placement
  6.4 Maintenance and operation
 
 
  7.0 Labeling and identification
  7.1 Operational supplies and
applications
  7.2 Stock and retail sale separation
Special Requirements
  8.0 Fresh jucie production
  8.1 Heat treatment dispensing
freezers
  8.2 Custom processing
  8.3 Bulk water machine criteria
  8.4 Acidified white rice
preparation criteria
  9.0 Facility layout and equipment
specificatins
  20 Existing facilities and equipment
901:3-4 OAC RFE Only
  12 Articles - Cease use
  13 Records
  14 Food sample collected
  15 Embargo of food/Voluntary
destruction
3701-21 OAC FSO Only
  27 Embargo of food
  
  
Inspected by
MCCONNELL, PATTY 		R.S./SIT #
062416 		Licensor
Canton City Health Department
Received by
 Title
 Phone
1-614-272-1700
 

Continuation Report

Authority: Chapters 3717 and 3715 Ohio Revised Code
Facility Name
5TH AVENUE PROVISIONS 		Type of inspection
Standard
Violation(s)/Comment(s)
  HOT DOGS ONLY.
   
  TEMPERATURE MEASURING DEVICE, GLOVES, HAIR RESTRAINTS, SANITIZER AND TEST KIT PROVIDED.
  HAND SANITIZER AND SANITIZING WIPES PROVIDED.
   
  UTENSILS CLEANED AND SANITIZED AT MAIN STORE. EXTRA UTENSILS ON HAND.
   
  SINGLE SERVICE HOLDERS FOR PRODUCT.
   
  COOLER @ 40°F. 
   
  HOT HOLD - HOT DOGS @ 172°F.
   
  NO VIOLATIONS AT TIME OF INSPECTION.