_Fo?gEita?lishment lnsp00tl_on_ Form Page of__ 031--
The ComInon?lth olgml?-I chusa?s #ijla?ons _7'17 Dale 7)qu

I?Saem rdof 00 

1% summgm Street, Salem MA 0197!) Priority: '3er 09? 9 I 2" 15? 

?9731741 1800 Scum i7ma1)_1 Time on 

  
  

  

kamummp?) I {Tn J-y; an WWII I of l- 
#17715; .E PULL-IL. oodServioa Rw?m
WMIMLH 35%: . - 7 .. ala? 
Medium/f .- .7 :1 31 DRaIden?aI Kitchen Previous Inspection Dale:

CIMubile 

r. UTaInporary DPre-Opetation
L5 Toads-Hiram (Jim. main - DWI 
UBeddz?reakfast UGenaralComplalm

ljFarmer'a Market DHACCP


11mm
J'HL'fooi?'agda
.- ?2'!me ?110)! 1001th Am) HEALTH 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

muom?umpum man OUT ?N710.N1A1!oreadmumhmm umwhwupmm 01003:!me
_llu?f ?101mm OUT-nothm-y?nan?n mt "imv?hdwivj?mulrm 7 
?mama-am_ng _mmemm
7 Wm? 7 
BEA WFoodl-?Mec?oi?jmw IP mmjmawm_ .
Employ? Heath 
- 
3 OUT NIA HID 
'920'1?92 
74;}4409 7 museums?Madman 7 . NIAMJ 
22 7:0m7niwo7fmporwmm? 7 7
_7?u ?Pg/Om?r 
Lur ?3.37 Prworadhn. . 27747 men: ThnuuPubucl-Iwconud 
7 704 ?mu 1w Nam-100mm mum Cammr?mlmy 
WWI-wands 251711 I 
7110:? '?_wmm_apw_??yuL __Roth?qrontafnr?hgmy mum Pupuh?umlusp) 
9 
1o ?nmwmewmm Foodlcalor ManndTeldcalm
2?7 Foodamappmmapmiymed . .
31717121057 .. 7 7 Ta Gil-?1 NM T031051). wmum. main
12 1143013117 *0 mmumm WWEEMPW7
19 ?mmffi?mmf . 29 mgmmina?m a ?radarsmuadm arinjury Fub?choaa'?)
1.5. - interventions are 
16 7 

 

 

 

 

 

 

GOOD PRACTICES




 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

Myth?Th cm-mwmmuunmm 
Compllanoe?llus will)? s?Em cos] 7
mmww-m _Prqpurtheufutunlla 
30 43 Mummy anf?nmgemudai mmamd
.. 46 I 7
33 Ms. EWIIMWQ
34 .pIupadydulgnad
asi mod. Emma
36 Hal?Mahdmdem . 7
- mm Pity-Eleni my" 
7 
Whamdm 
58 magma-?m 7
39 min-wand I. I II. I I
I 
?if: Pemluunm 
?i1 Fliy??mmd. 
_4?2 WWII-0535935: i

 

 

 

 

 

umber I

5 Izmir gamma m" 7777:?

Mailman-Wu: 

:rdouaa?ondioodml?rhhn'ndm?ma. youhlvanlighlbur?rlm. 

 

in!) 1.: 
1L3 th?ii i?lL T:
Signaturef 7 7:777 YES Fallow-up Dab Ilapplluahln I:

7 L. I 

Lat-{imb-

 

 

 

7 Food Establishment Inspection Form

A 
Page 5 7"

 

The Commonwealth of Manama:
Clty of Salem Board of Health

120 Street. Salem MA 01970
741- 

Name:

K713777873

 

Ham/77777747787777

 

Date:

73731:?

 

 

OBSERVATIONS M07611 Ao'nq

 

 

Item

Priorlty Item

$40511oflhoFoodCodn

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   

    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  
 

 

 

 

 

 

 

 

Number CodoSection P71_ry Foundation Item DeaodplionofViolalion
Thom 7Q, an 797 97377702
Mi mm? 17177787977
7,777,712 7.2" 729777.

7?77? ?771.24?sz _IJm/sz.
. . . 
UT 78737777? Q97 -7..- 
7 
.1qu 27m W/uZm 777/7777? km (Z7777 .
{7.7715170770177777 7:77 777 7.777 0.72/37
al.? 79 [7?7 {27777777777771?1177
Q77 77777 X77778 [um/.7 ?37177?
-7 73" 
1 w?d?gg
7/7977 5 (75777777777 777 777731727-
7777/77 

f7: 
7. +1 {-17.5 . I 
Eamotor's?lnnutup ?if-?f "2
WW 77.7777; 7 - 4377.72:

 

 

 

 

 

_Food Establishment _lnspectlon Form I Pag? 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tho Commonwealth of Massachusetts #Vlolatlons 3 ?83 Date :1 . j-I:
Clty of Salem BoardofHealth ,7 .
120 Washington Street. SelemMams'm Mm? 770?? 1+1 -
A .. . 1111190111..? 
WIM IJJL 3,1 Rhiannon-y . I 
Elm,? [Admin-1,: b? FoodSanIloa Routine
- 2 IV-L I Retail Flalnapcdion
TaI?qiiona? $0177; 1777;:2 77344 Haicr'I mi D?umn?all?mhen Previous Insmc?on Date:
a [Immune 

momma; ?Ir-1?3: 1, UCetetar 
,J-s DBad&Brealdast [joenerel Complalnt
Impodor r? EIFaImer'sMarket 
44.1.1 I, I737 Homer: ElOlhor: 
ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS
"main-mammals mmTh-wmmruwsmn
=Ivll1u?m__ WJanthgotq?m _Wlunthi?b?t . 7
Cornpnence syetua Tim? FE {21? "3mm: _coe_ 
amen-mm. 
77 7 BWII 7_ Limbo? mm mm amt-hwy 
1 CW ..
2I I7H ourwa CamedFoodemuemgec _11_ Iwmawo _1 .
19 urwam i

3 2O 
mm"! 
7477 _Pmpamodmah-Iollnnu?adabn_ 7 21 IN MIA 
5 IjIpm 22 
. F. Z1 u_r~TA_w_o 
$7310er Iw ?uke-com 7 24 INOUT ANN: 
I 7 1 NO Human-11mm mum Consumor?. 77777
I777 25 I IN om QM I 

Ilka?adamamw Requirnmentn Susana 1:23qu 
Nobomhandomlada?hRTEfmd 26 NM I mm'm? WW
Feedtcehr dl?veadeoulo Bub-unta-

- o? 
Fendoeumdne'mepprmum 25 a Tweum.mlm.mmtmee
W777Wra Bambi-nanny with AppmadProudum 
mmtinmomd?an.wfmi 29 I IN I I
WMWud?mm 7? 
Im Wm 
provalontoon?hubhg fedora offoodbomamnacmrir?ury. Pub?choallh
..-I7 
.H 77 memmam 7 


gga- 
Compllanoesmus _7 Ioosj;?.411. hmm_m_ 
:31 I 44 mua?gaqtbm?al'm my..slnud dM?hmdl-d
2 I 45 7
Food TcmporatuIcConaol mummy 
33 "?w?mnm I Utem?s. EquipmentandVondina
34 41 
7557 I 31 tueemmneipe_ 7
36 7 WWLW I 45 7 MWWEML 7 7 7
. F994 We; . Phyal?l?fll?hi 
I @1211??sz I I ?0 W?mwm'?mw 
Mm?iw _51 
38 Inmmh. 52 warmed-Imam
39 53 
40 EL .ngmm 
4.1 Wmm?mam1mg) Dome:
momma-Wu hummrm mmMedmdemFmermuFmelmm. 

Mayan-Elma 

 

. ,1

PlG'aStgnatura' .747: lone: - -.
I

Inspector's El?n-turn: Follow-Up YES Inhale anal Follow-up bah. 1?1? 

 

For_m_

 

The Commonwealth of Hunchuseus 
City of Salem Board of Hu?h Establishment Name' Date' 
120 Washington Street, Salem MA 01970 
(913) 741-1800 7 {22,313 E: Clo/ml
TUNE 
Item I Locatlon Temp? _ltgm I Lou?un Timpm" ham 1' Lac-Hun Temp 

 

 



 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OBSERVATIONS ANDIOR CORRECTIVE AC110NS

 

 

Ma?a: cited?I?'tha mm will-m the time #81151 area stated In Ema-405.11 oftha Fond cm_

 

 

 

 

 

 

 

 

 

 

     

 

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5/7 

Item P=Prlar?yltom .
Nuan_ar_ Code Sectlon P?u?ly Foundation Item [imam oanla?on
2.1 may 
?st 511.;le
L1 :Aifw_Jil?gl-?Qf 1/51" Imam"? 1 vnl?h 
"11111:! JWIL fig.? [Zr 41L, 4 3 .1
.151: L35..- ?1 
It! 1; . 111 
. 
~14: "315253(an 
1 
4? 
PIG mm New DMD Pf?
?wmmary Dim?plum Ranc?mr
. 
Re-Jnapeotlon Scheduled UEmergency Suspension
Emergency Closura
'EI-Valuntary Dlspoaal El Omar 
na um: - f.
. j?Uow/
l?nspacmr's 319mm 1] m' 
La. .2531;
R?v. _111201?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Food Establishment I Paqgjr_ of 
The? commonwna?h of Massachuse?s #Vioja?ons Data 15? f, . 
CityofSalem Board of Health - 5 i
120 Washington Street. Salem MA 01970 2- :7 31479,?
Scone Time OulJ: 31 
wmmum I . IT . I 
H. pity-La .5. 'u-u - FoodSel-vloe Routine
. 5" Retail Rehspadfon
Telephone HAGGP er Ij?uldenllal Iatdien Previous lnspectlon Date:
- UMoblle
remain . -
Tish; I DTomporary Emu-Operation
pam?rw Ir .gI. Food slimy EICatarer EISu?iad "moss
.l L. -3: . .- in: EIBedaz?malclasl EIGeneral Complaint
Innpodor [:IFarmer?s Market DHADGP
aft. Ewen Ewe? 
ILLNESS RISK FACT AND MUG HEALTH 
our. lilo. i
. l?alnoqrglianoe Wamthconv?nnoe ":0:an notquhable GOSH nWm?WlenR: 
J?j?iw, 99m lignou?tntuii 
if . served mammal: 
?1mm? 
Ca??adFmdetawonMamat 1E 
Employee Hufth 19 ourEa-l 
7 
3 IN UT anpbyoeulmuladgo woman-inland 20 N-O Pmperonolmlimandimapuamm
I _P?h?lgm_' 
5 65PM 
A IPW?d?m?rwm i 
Ill! OUT LEW) - MuaPIDioHuIUiConud
_7 
g3 - 
8 {Dyan Nfo mmamwy? Fla Inufuf?l hly 
9 @wmwo 26 OUT MIA I I
10 MTcaior moves-nu Toucan-lam
. Appro?d - 27I I
_11_ Con nTmihAppI-owilfgaeo?um 
13 EM I I
14 WIFIFMT maiahle' :nhelstodrtago. 
- Wm Risk Factors are I'mporfant pmrii'oes orpmcodures Identi?ed as the most
pravalentconl?bullng Public health
15 . Mien-air?ow am oontrolmeasuras to prevent foodbome illness orinjury
16 ur NM Foad-mnlaciaultammemdawm 

 

 

 

 

 

GOOD RETAIL PRACTICES

d19?i1o815. MW

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

mm'rhasi-wmulmfummn ad-mnudo?m-ai?mriyirw 'n'aamm'
008 I 1_ Campllanu 5mm cos I 
SafaFaodandwm Promr 118:th 
gig We?uw?mm .
31 wmaloofmmapprowdaofroo 44 UleI'Bls. diied.ahand19d_ 7
32 I ?5 ihw?lahubagquu?du: MMEHQCI
Food bani:l_ 46 Gloves used _pmperly 
mm? Utenallu. 
34 
3? . App?mad llama Mods_ used Wm? 
3_6 Wmtaraprov?gqgqungb? Non-Ibodonrihdiiurlaoosolom 
_fgo?d I Phyilcal Facilities?? 
37 I Foodpmoenylabded; origingpunu I I 50 I 
Food Gaul-mm _5_1 wall-mica 
381 Mm 52 
39 mph!? WM 53 Tonafaalums: Mm?uded. wmaldeanad
10 Twas "Ti Gib?Eim_vemj_wm_ twin-17d, 
11_ mag-minimallyusnaam mm: Ill?dean I
1L2I vwmiig?u?navagahblu 56 i

 

 

 

of?cial ?turban-radon: Ballad onan _hsaodlm mammalian

and muons! load ?Mimic; mum. 
lianI'ltl} calculi: ?ip-m? ul' 91:331.

8111 Mill?:

lnspil?h?ii 5lgii8111m? 13.: {191 

Print:

 


Muslim

MI ?'llooruor. ?Mammam. 
rjbr" rt 1
ll

0/
Follow-up: 6931:;- m) 

lorggli mmanioogg; Bottle?r 

nil-loam 

ril?HI-fi iff? D?h' fi- .-

 

 



 

#11511 EWWInspec?on F3rm Pain ML:

 

 

 

 

 

 

 

The Commonwealth of Munch-alto

Cliyof Salem 303111 of Health Establishment Name: Date120 Washington Street. Salem MA 01970 51/ 

Re, if} 1% ?55 ulynfa? [We [1100 

-- .. TEM TURE RVATIONB 
l_llo_n_ ?133 item 1' London Temp item} Lowlion Temp 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OBSERVATIONS ANWOR connecme Aonous
Vlolallons oiled In this report must boom-reeled frames or as shied in Soc?on 3405.110!? Food Gods

Item . - Priority Ilam . .
Number 5911111111 PF P11011111 Founda?on item 


-15_Lr -

- - iwi1_Ff_..L 
??_ji?2d 1.3 - "Du?i 5,1421

m1 . [1111111112- 1.11.1.- Hugh ?g

i
h?J'f 1.12111er HUJL The-15

 

 

 

 

 

 

 

 
 

 

 

 

 

 

 

??301-le1 I _?migga??l Irx'I (?Li-1?1 11-1 _q
5. .

Li I'l I??i?'tr 

 

 

 

 

 

 

 

.- #4145; .1 {111151.11 7 
.2- HTML 5H1: ?11.1; mi 1?11? 
57 Sq?x?/Wf?r 1' ill?!? id! +1111 Hf?. 1111'1 1'31 ?Lt?tkir.

 

 


.


?11: '1 'hLl

5:11 1.1113133
_dpi? 1.11.4.1 

?Dinihl 3? =l1- 
. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


91.111111111111111 1111111 no eon-cow Adieu Required [3110 mg
Voluntary Compliance El Employee Restriction!
a Exclusion . 
I I lie-inspection Scheduled Emergency Suspension
U?m?us 
x" [1 Voluntary Emmi [1 Other 7 
om: 

19/25? --

 

 

 

one: -1 . 1
I.

 

 

 

 

Food Form Page of 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The COMEOMIE of "which I#Vlola?ons 93135153 0 
Cmdsa'e?? ?Heath P_rhr+ty~ jimmy hmdh?on-L Cum- Tlmeln 
120 Washington Street, Salem MA01970 J: - . 41/ I,
7? "300 53?19 _(op?Damn 9mm
rioimn?i 1' .4 Hktf-GF? Y'ril Emmn?al Kitchen Pravlmulnspecuon Dale:
- 5.. -- . Mob-Ila
Milli?
$le9 111.: 0: IL 9: mummy BMW
Pam-Inlwruu metmm Deaterer [3509de Uhmss
.. aaraakfast [IE-mam Complaint
mm EIFamIer's Market EIHACCF
JLH DOME gum
F0 DEGREE ILLNE33 RISK FACTD33 AND PUBLIC HEALTH INTERVENTIONS
OUT. NIO. 
Miwhwi??ounmom 
Co_mpilanca Status I 006 I GbmpI?Imaa Status __Iios_ 
mmgamww I 
1 our I 
EUTNM 1. 
H-u?h _1_9 
- 
??onud_?_??yguiih?m__m 7 7 
6 I our juvul - 24 TmuaarhIcI-Iumcm ?mem' I
3. mo . gulcnp?bll Popuh?unitHSP]
9 0mm N10 moWOW. I. :i
l?om I 23 Wt" A random. mum-manned 
Carri m?anmuwj?ihppmod Prowduru 
29D 0U IW?hm?mledMn-m 
IIWM 

prevalent conmbufing fadots a?uudbom Mum orinjury. Public health
. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 
   

   

0000 RETAIL PRACTICES 

m?bimh??hluLu?? H??pmg?mluycwg? Htrupml??on?
Shins - 008 Compllanco Shula 003
. mFm-Ium 
30style-Inel?lgI?m?alm?dmeam
Contra! 46 Glovesuedpwedv
6:3! 
34 I 'Mmm.? 47 mus-autumn
asi "'niamgr?emoisuud? _38 Lawn?_him WW amt-91m 
33 I I 4.9 _WWde-an 
mamm? . 
I _5o_ manuwummuwmmn 
Ma?andFoonpnjan?n?n?un EL 
I?Mmammw gg memLM?-pm 
9351 mm I 53 magi-d. ?um I
'hus?oz?luamima 5_4 
?25 
56 mum-ma
Dmmhuking (590. 9913521; 001]; pawn-en Awareness 1590 009161: _DLMIMnyula?m ?gmar
.wlhumd?r?a?hdba 
nun-Emma aunt BaudelHaallh. 
mdmun?mol'iaodulnbl 


PIC's 5 lg natggn:

 

rg?wmm youhavoa?uhltonhea?m. 

7?29: 515,3; 1mm: jn__m: 

5! Follow-up: YE {abut-m1 Fallow-0pm ?apleuhIa: 

 

 

I lib?oil limp ectihn?lform

 

120 Washington Shae
.. (97311 7.11? 1300

The Commonwealth of Massachusa?i
City of Salem Board of Haallh

t. Salem MA 01970



 

Establishment Name:

Ban ?I'Ily 1/ 
TEMPERATURE 

- PEELTL
Batmm

 

Ham! Locallnn 

 



 

Iyrnluutlon

TGMP _Temp 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OBSERVATIONS ANDIOR CORRECTIVE 
Violations dud be mug-9d 11111111111;ij lranmor assisted In Sedan $405.11 011119 Food Coda

 

[lam

 

 

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number PF=Prlorlly Foundaiionlt_6m_ Mmm?ma?m
:3 Lima-34! In? Inom [?29121 ?+Om1nn 
- 7 5.72.2- {:mfgtim? {2&5
.1
- I ?If
-10.- 6401419. PF - 
'Itllr'u.? 
Lt: _ngxm wihtlr? 
,i 
1?.1?MogumL W. - -

6437 I. 1? "a 
11.112.92.111?. Paw-1x: 
Cyan 1" ILLS algal; Kg?: 34.1.1271. LII: -
~11: rm 11-: 1/35,
'3 ll -AI 3'14 'I?Ig?l. u?h 
- _Jct?L 
a ?failure? 1111111243 (H CAL 
Discussion PIC Ebb 
CIVoluntary Compliance Employee Restriction;
A Exclusion
Re-Inspaction Scheduled ElEmetgency Suspension 
7 7 ?Wt: 
.3. 1.. 
Gr 7? 1:on DI I [[0111
{17 untary spoea er

 

 

Inspector's WWI
RE. ?Tim?5' a

 

PIC'ISInnatgz/ (?41 Z: 





I
372/1
Dab: r7. -,


 

 

T?he Commonwealth of Massachusetts

 

 

F036 

 

Iii-973;. 27.3:?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

Glty of Salem Board of Health Establishment Name: Date'
120 Washington Street. Salem MA 01970 
QWEJGS 
CORRECTIVE ACTI NS 
Food?fads 
Item 
Number _Ciode S_ec?on PF 7: F?u?ty Foundation Item Pasalp?on 0'de
I I ?1
2411.1- @1113!" $223.;
Aug vu?i {rm/Int? def?. . 'a 5
. -
Lat/? cit-St 

- Data: 
- v" .

 



 

??575: #72413 .

 

 

Food Est?illglish?ent lnsgaqtiogfom

 

The Commonwealth of Massachusetts #Vlola?ans Date J-gr ff}: 
cityorsale?maoardomeam - - . 
120 WashIngton Street; Salem MA 0191:) human?? cm" m? 1? 
($81341- 1300 .- A 11"? 
manual-Fi?: '21 I mum nIIln a a!
Lli .11 1: ?Sam,? 

.1 I El?alnapadIon
1W1: 3,5" UResIden?al Kitchen Previous hspeo?m DataDTemparary IZIPIa-Dpsra?nn
munmi'mc?'p I Fmd?aluly?l?nu?lnf?m Dm acme-er USuapmt Illness
1/ I A UBed&BreaId'ast 
Inspector I. 1? DFam-Iar?s Market DHACGP
h. I .3 r1, Ema?
F0 BORHEILLHEBB EEK FACTORS AND INTERVENTIONS 

 



 

 

 

 

 

 

our. 



 

 

 

 

 

 

 

 

 

 

 

w-n?n?m? cgs_]_ ?096 
ComEIlanoe WI agreeaum _005_ 
mmurwmm?pm
CST, - Imd mnmiumdlumhm?
and
1- 
2 MA 7'19 _@_IuAm 
Emmy? Hum: a 19_ 

:Wm??mm 20 NIANIO 
raw-Arm- A A 
2_1 .Wm 
22 
mmrmunm A we; we 
24 IN om?rgm Mu-mmwm .1

 

 

 

 

 

 

 

 

 

 

Nahum hand mum. 
"Wand-un?n? if?'

Cunnumer Minty
251 IN Wig?E 

_uI for" It} ma?a. ulltlans 
Bz?i?qkig?m NM ?rw I I

Food I Color Mm and Toad: Sum

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

undue-ma?a 
_Apemm?ow ix 0.1095; 
meb.mm,mwaum

29 I- IN 
unm?ambd 7

J. 
CDMMUOD pravalent conmbu?ngram omodbomemmsorwum Pub?chea?h

Wm?mdaudam?md 
RETAII. 

Gaod?atuiPmcdeeam 
can: _itl?nLIm_
Comgllanoa?atus GoIanIancoStntu [cos I
MFond and?: . ProperUnchIhanII

ao? .7 
3-1" Li man-In. mammeu .I.
32'; 45 I
?Fwd .. -M A. 
33 'm?m'fa'IM menus. mammvm
34 PIanlfnod I IIurhoIhuIdlng 47 
35 45 
33 '?pmueclmm.mh 4a 
Food Iden??utlon 
?gamma; Mummr g9 Nigujumrmgogum_m__um ..
Prvven?onaano-dm?gn WM mmum .I
m.mii?minmmt 51 I
53 ?:9le am I
1 I
WIpIngdouwuopulyuudamd mgaw i
56 

 

 

 

 

 

 

 

 

 

 

 

 

 

57.
Bundulan


nndanssa?mofbui smurfs-E

  

 

EH 
PI'c-s _EIvg_n_atun_II_' . 
Slgn_ ?3.41- 5?

 

 

 

 

gsEc?I?u mumeu'mm??n JI ?Tnbam-I??m ??qum_ hymn-?31m 9991511,. MIL-?Juh?an [10er
fr??mem?t-i

Intf 

4 i1

1 
Foil?

lamina?I 79h?

AFoIlow W?Mr?IPgm-w 

 

F?ood Es?tablishment Inspection Form

magi; 09;.

 

fhe Commonwealth of Hmachuseus

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

otty orsatom Board of Health Establishment Name120 Washington snot. 61mm MA 01970 . [1 - -
(978) 741-1800 41/ 1'1?le?g?gm ?3 farm 6 on 

TEHPERATURE 

. M101 M01 Mower- Tune 

 

 

 

 

 

OBSERVATIONS ANDIOR CORRECTIVE ACTIONS-

oftheFuad qua__

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I?tom Priority Itum 
Number 3m? Print-Hy Foundation Itorn Wm ?am"
{11.1- B?Lf?nd?? M: n} W90 
?1 l' Li?s" 
- i I Loom-
1_ 

Dlscussion Gm Milan mm 
[IVoluntary Compllanoe Emplayae Rash-[alien I
.851an?
El Re-Inspec?on Scheduled Emergency Smponslon
Et'nbarg? Closure 
Voluntary Dis Other
1 1' P05

 

 

 

Elanatdrl: I
.
Inspector's Show:

R?ev. 1 ?2318??

 

 

HELL
?mg/.2213?

 

 

 

 

   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 



 

 

 

 

 

 

 

 

 

 

 

 

- . Fq9d__ Establishment Inapection Form Page_ 
The Commonwealth of Massachusetts Wolalions Date ad? I 
C?yafSalem Board Of Health Piontyfounda?on- Core- 11me n_ EJI
Skeet, Salem MAOIQTO 7? -- - 
(975) 7411?_00_q SOOMOWII 
Emilie-realm - - acumen I
Bambi IILIILI I 5% ?Sal-31m Hauling
I HI 1.. n' . 'D?alall elna-paditm
Telupi-mef?IfI; ?g WN U?esldarllinl Kltohan Previous hspactlon Dalia:
WE - DMuhlle 
- . .. [JPN-Operation
pumyuucmn (C) A- FmdaeiplyireerlrulemmeI I .. . "q USuspeut Illness
I In. 1,411,.? 2.9.1.5.. Daedaarealdast EIGanemICorrplalnl
Irlpii-dtl' I - UFan'nar's Market 
I (1113.ng [Jamar-1 nether:
I F0 PDRNEILLNESB RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS
Mitzi. 
I?ilhourr?lnnw m=hdlli1mdwm Mum! _Qggm 025-1 55551311 Rimenl?nhih'l 
I 90ng 5 c?m lien?e3 ?hlhil_ cos A
Hum 17 [hi-UT ?uid:? I
1 IN, UT ?1 TImel'I'olinp-min Cantolform
2 mmnmiue?e '18 I 
Employeu Health 1_9_ OUTNIA W0 

3 @our 20 IICIIJTNIANIO Prupuruueingtirremdhwume
3.. _mi?lj 
4 OUT EWMWW I 
5 methm 22 Jw'rwAluo I 1
will! link?; _me?wmw?a i. 
24 IN mi?? Ajwo 
7 NudedumMGyan.mw.liidm?l 
25 I IN I Wmhm' I I
OUT Nip While 
9 we 26 om NM 
10 Cp?U'r_ mum. 
_2_7 I our. . Fmdei??eur?wepmpaly?md 
11 ?Foodoblailadnunappiwailogung 28 -N GUT NM _Iuidcub. 
1?2 ?rl?illoUT_NJA Foodmnahldalpmgalumpn'nmn _I.i_md
onndl?a. murmurs! laud 
_13 II 29 mourn. :mifTI 
14 lNDri Raqulmd?mduwa?ahb? diatom?Inga,?
. 9mm-_ orpmoedums idenaiiedas?iemosl
_mecm?u? prevalentaoni?ribu?ngfadm offoodbomal'llnoss orinjmy 

. IE ?0 me?m_ interveni?ibns am controlmaasurastopmvent foodbamellinessorm

1g lN?bU'l' NIA Feedeummdeenedemum 
GOODRETAIL PRACTICES 

cod- mnuudmdiuumln?h-Wpeu ner ailing-? 
Compilinoasutys I one I Complianusmtus .. 

Filo?d In?l?yhir Proper I
3Q liw?mmod lawman? I
31 I MkijEWi??-- 

32 I I
7 _coilti'iil I

33_ m??w ulenelie, Equipment and Vending 

34 Planlfund mm

35 Wng?mdsm-w I'm-Hi. emu-egg

35 . W?wgann

,i . _Feedwpn Physio-i Feeiili'ke

37] I Foedpmeerlylepeled ?atjooldmm?ahh; aliaqmemm

I Piuw?uno?'ood Conway-gun pupal-mm 

I jig: 

Iii?i ra?einleernm 
41 mhlahed.&doan_ I
42 w?mmaW??r . -. WWI-W: d?Wmumd
Snack). mmauemlm I (590009?, _g?iabeam @Qgg?mlmgun AmmIsan Mel?merrguluum [30mm?

maximum liedurulfaedcudu. :riprrueiiruimley
palm!

qumhm?W??hh?me?huWuMd?omm

million-?aunt ui?fnad

I tan' 
I

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if not.
. Slgrialum: II I:
Sigmund: 

 

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It 

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Failure-up YES (emerge, ml Follow-up 


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_F?od Establishment Inspacilon Form Pa?g??gL ml;
The Cairn?mun 3f Humhueetb
Clty 3v, Satlem Board of Heellh 1 ablishmant Name: Date- :le?l?g
120 ash Street. Salem MA 0 970
_ImLI?Ispo Ll ("Log-rum 1mm; Him nae-63:1 Temp 
OBSERVATIONS ANDIOR co?REEfIv? ACTIONS 
Vlalellune aired In this raped must be corrected within the time frames or _ae autegl _h Sea?m 8-405.? of 1119 Feed Code 
Code Section negation of Violetlon
Number_ Prlalily Foundation Item_ 
NL Emmi
(Mu Wind. 
1_ 
Dlscuselon PIC: cur-nan Mon ?ue ElYu
- Voluntary Compliance Employee Renhic?an I
Excluslgn 
Re-inepeotlan Scheduled [3 Emergency Suspension
El Em-bergo alenergency Closure 
Em 
PlG's Elan-turn: I 3 Data: m5

Inspector?s at; I 

Rame?s I

 

 

   
  

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


_Fgod Esiayjsl'lm_entll_lgp_e_ctlon Form I Page 1: of $4
The Commonweal?l of Massachusetts #Vlola?ons I Date 4 ?Jr/r: 7' 
Olly of Salem Board of Haallh 
Street SalernMAO1970 I cm" J-- cit-319%?
(975741-1300 WNW ?maul?? . 
womanizer-Q I "Raceway 

I oodSewiaa ulina

5Wme 3
-. I .4 Reta-? DRelnnpuc?on
T-W I E?pvm El?esidan?all?tchan Date:

_ls? L2. . - DMobila . 

_n [11,3 :Jg EITemperanr I
I Food ,1 ElCataI-ar 
.IL is n. 412.1. DBedaareakfast 

Imam EIFarrnm?a Market DHACCP

Jib! Fw_ 84.40551 Elm-Ion

I Foonaogne RISK FACngs guano Hg?g? INTER?vaunons

our. NJO.NIA}toroadInumbuodm mfhwupam??v?dds?wR 
IN: lnoamlaneo m-noeobmrvad wnznompnmuaR cus? a: 
732-11. "mm $319: . .008 i 

won 17} 1 Ian Immgm? I
g?wwm?w mummy
IN Ca??ndFoodPtdawoanuI-r Wampum 
_pmgumwmmuumm 
Magmtiundamhyae-umm 
Mannheim-ammo
I_muuiwym. 2i' IN aurwxg?ffi 
22? mo 
-. ?@an 2_3" w: gr??Tnn_ 29'! 
_l I
. :__35g_u_I nguh?anIIFI?Pj 
:A'E?cmmwo inTm I
FoodIGdor 
F: i ,our. :57 mulled?T 
.. #w?a memm?u?gq I 
o_ lhAgpr-wod Honduras
Fundwoelvadlngoodcondi?m. ms. 29 cm I 
UML ?mam 
IN ?1mm: 
punt-1mm 
I c. COMM -- I Pubh?c health

EI Wemntlans are ooniroimeawms to Winodbome Illness orhjury

184 UTNIA Food-mntminurfamdeaudlurlh?_ 

I 



angui?i?h?a??

I I cos I complumsu&._ cos I 
Batu Foodmd?aw _PLopgrUuolm__


31 I 44 @bkwam: MW. d_ied_. lhandIod? 
?2 . 15 wrime?al?dL?M_

3:53.91 Enrol?Maggy?! 46 museum 
as I .Iwm?'fd?mmww'" 
34' ?mm? 4 
:35 i {of raw; Irwin-d MAW met?ma;
a?l Wam?dpdgangnm_ 4P 

_Food mm_ Ppygical Fa?c?i?a; "f
Foodproporly?Iabobd: I 50 _Hoilmidvaiern-Ia?lmdequdam 

_Puwmonal'l?ogg contamination 51 mum minimum
38 52 7
39 .shnuuand 53 Ii law
49 Kunming '54? 
41 
42 66 
57 Reagi?z'??mrsi?o?si I ?M?-qummw 9;;qu [ijnnuwwula?un 01her
oud?ouuhlbn! 2013 memm 
a?oadofl?l-na?hmnbetorluw 
mdm?ono?oodoz??s'hmg?matbm 
MIi?Im?a-p 

n92 3 I Print: ru 1H {55.1. II {If} ..-,
Inspector?s 4 -J Foilow-up: NO [niml- no] Foliow?upDTIta_? ?opp?olblo: In?; b411,,

[If 

Ir

Food Establishment Form

 





 

 

 

.973) 741-1800

_Tlto ammonia-uh of Insechuu?a
Cityol' Salem Board of Health
120 Washington Sheet. Salem MA 01970

 

Establishment Na

[113' RL
TEHP 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

:m intuition Tramp lamination Tm {'Fj minim 
OBSERVATIONS mmon CORRECTIVE muons
Vim: corroded ??n?mam frernesoras Winsmm. 11 of?nFoodCude
Ila Pli Item
Numrgar Code Sew?on PF ??fty Funnda?m Item 0' Violation
?cj 5-2022, P: ?Dita/mi: 11.1.? WJJA: .411 f; {Ilkf for: U4.



41+ 1;

plate;
iff?oF.

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S?Orl?? 1171195111: 1? 7:6- 

 

 
 

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Date: 

L. f?luu?w 3.5.4.3114; 



 

 

 

 

 

 

 

 

 

 

It?: -. 
- 

DI-mlon with FIG: 0 Man [D?ru
E?Vniunlary compliance Emmet: Wm!

Ettulmiurl 
El Ra-Impoehon Scheduled Emerum 

?m ?[j?nargency Closure

?'DVo1untary Dimes-at Dormer 

m; ?15.7.3

 

 

 


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777

 

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F_orgn? 1 page 1 _of_ L.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The CBETnonwealth mammoth #919151qu 3 I Date 517'??
City of Salem BoatdafI-le?alth Cora?1" 
120 Street. Salem MA01970 1:10:11 1; ?my 09?? . 11"? M,
(9731 741-1800 Score (ammo 1 mm 
hum. --u.m1Nm-nn If - mum-inn I 
FoodSaMoa 
)1 Hf D?aiall 
.. 11: Previous Inspection Date:
'3 .1 -. Mobile I
?$1114; Tmpurary Ele?Opam?nn
I Damped Illness
-.J . -1. .r DBMS-Breakfast EIGaneralComplaint
1w . . [Farmer?s Market EIHACGP
1 1.3.9312:
ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS
we. 
"=i??mmw anthem-11m I?'?nr?m cap: WMhduth-gm?m?: rupt-nt?dahn 
GOMPLIEEGEWLE 1 cos 1 Compllanca SEES 0061 
Pmdl'w??l' 
lm 11m! ?madman-turnout 
- 1:;me anti Oanutl
l) . 100T po?onmI_ duh DD"191m 
4 th?mumm 
PM 
5 I PU: ?immun- 
.. 
097 ottobmuoo_ I . nmaoMinHoomcor-out 
7 It 0 
Flavoring 
3 m_u1 Hro Hmdadaanaplopodyuad'tad I uhromoWnS forIHIt h] 
9 ourm N10 26 .th um WM 
10 our P?z?mm?j?m
27 muff?) 
LL OE Fmdoh?tad?mwdm_ _313 929mm T363131 
12 ourwA _Foggra?ot WW Cont Inmwni'mppmod RiskFacm 
_Pmm-cm-nm Pub?cheafth
.15 . . . ?rmormjury.
16 NM WMWIMW . 
GOODRETAILPRAQTICES 

can: 
Status cos I 

30 . 43 Wmmammgd 
WIMIa?w?oeui?nmpaiyuwaum 
.. 1 
33 m?m?u WWIIMOMWV 36_1_ . 49 
i Food Tdin??uuon . _Piajalw Frantic. 
I 371?1 racoIpmmtabetad. ?tantalum 50 
Pmnuon?r-?ood Contamination 51 
33 I . 2 _W?W?me
39 I 53 
4a 1 moan-@199. Khulna} _{reha} 
41 55' Ptmimlfyulhhsuod. mumEMU-mold!? ?ght}! 1.1115111] [3319'an Marmags 1690?3151911 ClLocaHawmgulu?lmn 
WMEWBOM: hilula ?Eliot-in mam?Mm?

wmmumumm?tm 

   

 

M1101 allurdnr dag. 1" . 
Plg' sigma-m f1, a F?nt .3317 1.- 7 Duh: ?221 
Sigmulrig._ J. . ?fir" Fallow-up 1}}thon Inn-I} Data 19.12." . 15..

Food Establishment Inspection Form I Page 0122:

 

 

 

 

 

 

 

 

 

The Commonwealth of Massachusetts 
Ctty of Salem Board of Health Name: 0313* 
120 Washington Stneet, Salem A 01970 
_sz?s) 741-1800 Micki/o 541m]
TEMPERATURE 
Hum l? Location Temp Him 1? Location Temp ff) .?Locdlon 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

moron CORRECTIVE ACTIONS
Viola?ona aim! In this report must be comm tha llma names or as stated In Section 5405.11 Goya a

Pdonty Item .
PF Pdomy Foundation Item mm 0mm

(1?5?01931? mjkd?wrlal +0
. rte, +L?L4Lluhf 

 

 

 

 

 

 

  

 

 

 

. . - .. - 
1-5-2 In?: 1192
1 v( [Zip-11' 15 . 1-. 

 

 

In?! 



 

 

 

 

 

5.1.1.11 Mud;

5113;3145?; :11" 

 

 

 

 

 

 

Vt:- .. 0 It 'an-S {muni?pr l? wag.
1

(011.14" a {Hill-W Cr; LL): 

 



 

 

 

 

 

 

 

 

 

:1 i 
- '31) CHIhum?. 
. '?fii?jh1342f! 1?111?.i Law!? Lmuvr?

 

 

 

 

'11? aunt)? 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7 1/ 3: 
Dllcuaslon PIC: cm Mon Elm 
Voluntary Compliance El Employee Restriction I
- 
Ra-lnspectlon Scheduled Emergency Suspension
EmEErgo' 
- - 1] Voluntary Dlaposal I IOther 7 
FIG I Elunlun: Dam

 

 

 

 

 

Inspector?s 
ug'"


 

Fgo?d Establishment l_n59_gc_t__lgq_ Form page Tl I
TheCommo?wealth nmamchuse??a #Vlolalions 75:- I- Date I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OllyofSalamBoaldofHeallh - - - - 
120 Washington Stratal. WL. 
IsmI741- 1800 . 
an! rail a
E'I'rr'r :1 FmdServica ?nullno
1 ?Ralnmoa?m
1mm?? I mac? DRaaldan?all?tdIen Date:
7.. r1: I DMobiIa 
IEILII . LII Wm" UFm?Uperatlun
Pam-ImJHm imp EICalnmr 
mtg;- A. - '31? DBad&Bmakasl amoral Complaint
Im I 3 [Farmer's Market DHACGP
Jci i- m; L51.- [30mm 
RISK FACTORS PUBLIC HEALTH INTERVENTIONS
_mmdu?wwm?an??aia??. 
IL-[nmmy? albumin-am: um: Micah-lo mu: IE?usm 
Status 095 _cgm _gumg
. . . ?nl
Supervision 17hr" Inn-ad magnMImJHeln-ud_ 
1 Tim {Tum Cont-o: for 
f?h?w?M TI Wm 
Ha?_ 19 
mermhfoadmplayunmaandlm 
3 20 @ourwnmo Pmpunoohummdtanpamum
4- "my?
5 mm? ?ma 2! WTNIANIO Pm wwumm
. 7.13- . 
i! In our Pmperonmunu. dmlum. .-. 24 IN un?t; mo 
Tl?nyn?UT mo Emma?.me Cmm??'vtnoq
25 I w@ Im?mmhm?
Iu PopulationsIHSP]
9 IOUTNIANIO mm nrummvoousnm
10 
. _hoIh I 
11 2?3 A mum. I I
12 Ill Food . Con! man-In Moduli
13 T?x -UT 29 IN (NEE II WWTIWM I
?14] nae?3m ?Irma-WE: 
Par-52.- . 
mgc??m - .. pmvalenlcord?bub'ng factors orfoodbwnaMnmoII-iniwy. Public health
L5 mm . 
1 UT NM memmamm 


mwunnq?mwumsmn 
SNEL cos I Shin: 00sz 
.
3:9 .. I 1% 
31 4.4 mhwurLur-mz matured. Egg-um
32 Vananoe oblnhad fur uplift?IEMEI 45_ my stunt?: mud 7
Fond Tamponlum . . 46 _Glovesmodmm
I II M. swam-mm35, Approwdhuwgmmodamd _7 . with 4 II
56? 113%!!an 49 . 
I .. Foam-mm PhyolcgleLlPlumbingmmaEdmund 
3 Gm} in?, I
41 wm?m??gsadgm 5g I
42 frulls 5. mm; 56 _AduImm Ighung; mulled am used 
5] MIEI?ggub?m [jumpy
ui?a-Iw-rawunaw mme?d-m?nmm mum? mundane-Mum 


 

:11deme llolu. 
leloIMdupultq?lI-ajmlpud?, I
- _7 _r P?nl: jh?' I D?ato: 
Imp-actor?s . gallon-up; ,9 {nIImu m} Fallow-up Data ll'_applluable_: {If I
. 



 Food Establishhin?n??ic?tion Forrn 

dine?178??

 

 

 

The Commonwealth of ?mutt?motto

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clty of Salem Board at Health Establishment Name: Date' 24%
120 Washington Street. Salem MA 01910 
.(9731 741-1500 01115.8. ?th 

minimum Tempi'n hmiLoc-uon 
- - LELL 

 

 

 

 

 

 

 

 

 

 

 

 

Code Section

 

OBSERVATIONS ANDIOR connecnve Among .

?piloting? 3911 In this report muatbo corroded within the time llamas or as stated In Section 8405.11 otthe Fond Code 
Priority Item

PF Priority Foundation Item

 

Daub?on of Violation

 

Mi: 

 

 

 

?wqfijffuj \Jj'llr 71 LIA: Hui/1'1 11m. L: ham 
3729?. 

-jmi?i. 224,1}. luerLic?.

a Film 7

mum 7?
31:1

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7 t' .r L5 

?or $43.1!

.11;

7.1111344 111' 

 

 

 

 

 

  

 

 

    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Emile/W14 - 
Li?? rigging, 

fungal 7'1? .0372? Mil ?i'u I
m' fut. JMJ r4245
m. tit. 71.3f?dF tin/L
J_u" +?3.14 L'inf +?Jflliit?u 
I Ll? LIMA Lin TIS {rt/1161.131 
I

Discussion Inlh Corned? Aden Muir-d Duo Moo
UVoiuniary Compliance DEmployae Restriction! 
Exclusion
#?DEe-ifnipo?c?smm U-Emerm-me?Smenstoni
(- 7 DEWE
7 I 7? .. mm ?ood DOther
Slunaturr 

 

l?nspectior'o SlgnaturlaLL

 

REV. "?2018

-

 

 

Mimi/17 Mi;

 

 

 

 

 

 

 

 

 

 

 

 

 

    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fund EEtablishmenf [napacffon Fin?n _j Page 53' _l
ThTaGorimomlth ofMaasachusom: 
CltyofSaJem Board afHealth Name' Dale 
120 Straet, Salem MA 01970 
(978)741-1300 Ln)? lily?; 5214?: WOPV
OBSERVATIONS ANDIOR 

Item Fri Item
Mulber? CodoSau?oP PF.- $1 Fwnda?onlm Doaa'lp?on afVlalatIan
Sarita! 
_r LL47. 1 
.7 
1141.. 
(niij? Lt L1 :r?kua :1
_fl aid/1 51:11.} 

Plc'a Signature: f? Data 
InsW??sinam Iy?i?? I IKE: - . if.

11mm 9 

Food Est?blishrir?t?I?spgotlonfom] ?Page 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

T?b??riwmahh MMhuu?a #Vlolatlons Date 4511ng
City of Salem Board of Health .I 
120 Washington Street. Salem MA01970 mundaum' 1 cm" 111mm
T_ _me Out 
S- #1 a 1' 

CI .. Food 3w?. Ruu?na

?73 W: giant. URaina-poo?on

5" g; 5. ?m Date:
Moh?a

Bun?u Pm?ft; - 

331:,? Hie. CL Wampum! 

Parom-ln?Ctmno??lm?d" mme/Ei Lia: ?Calarar Damped Illness
(1.1.2. LII In?. .. .5113 - . UBed&Broaldast EIGanaralComplaint
lnapodor f: CIFarmat?s Market UHACCF

OODBO NE ILLNESS Fm KIND PUBLIC HEALTH INTERVENTIONS
no. 

"Ehmw "aim _?f?ln?aim_ n-mpi-tmm_ 

Gompilanposmus [oosr a com II nooSlaula 
17 @0711? ?server! Managulurufabod
mumm 
1 ET mmamm 
Gor??adFoodetemManogat TN 7 
Err-?19m aHnl?Eh _jB IN cum: I 
Manamand-r?waaondw??mol
3 2O 
. Propumdmuum 21 OUTNIAQ Propgh?k?utmwl?hn
22
Womb 

.. - I 

we 

mung CoMnt?on byHarIdo_ 25 I our?m mm'?mf I
I Msadammw?ou Smudp?bh 13me [HapIf. Foo-ll sum
Apptavod Samoa 7 27 IN _mewamm
Human-worm? Pmcoduru 
13 GUT 291 IN 
14 m?wgr?vo? .
. . orpmoadzmr?den?iodas?wnm
Pab?cheaf?:
15 9mm" Mononb?ons ?tness 
_16? I 

Good WWmebmmemmqmugmmumem
pm-mmg?gmugm 
COJIIHIIWMI 1 cos Compliance Status 008 ..
Egg-119m I
Womsuudmmuhd I 41L immuoprmm
Wainr?aahomomlwadmoa 4_4 .. 
.45! Mahlad?und . 
Food Tomparatummnhal Emu-gm I 
"me Tum I- W's? MW spying-L- . I
47 Wm.? I I
Wng?m_ ., 1
49 Haniodoor?atimdun . I
Foo-dfdooti?cdlon Pth?I?alFadE?-il _l
mww.mw_ 50 I 
_51 I
- ?2 
?mm" 53 lea?tmm Moorlands! wad. Manna
. 
madam 5.4 bi- mm 
Wmmuaodas?od 55 mad. norm
55 Indium-?mum

 

 

 

 

 

mm DTabpcoa_ {599055-191} [JAII-Izryonhwarenuatm DLogHaqurgUlaIsonI UghTr
MoldDM-rhmm 




A . .. 
II I aim Punt.- II I1- Data" IE: 
. FoI'Iaw-up: 555m; FoHoIi-up Dam?app?cahla L43 . 

 

 



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Food EstablEl?er?It Inspire?lion FontThe Commonweal?i of Massachusetts Name 
of Sal Bo rd ofHoa?h 
1g Washltirgton guest. Salem MA 01970 Dam: 

__Jita rum .5, 

EHPERATURE OBS ATIOHB
min 1 Location Temp Location Tango 1' Mom I Lon-lion Tempj'?
OBSERVATIONS AMBER connecnve 99:10:49: 
7 Violations dtod In this report mus! bg_mmdod_m__ M?'llf'l the limo framas or as stated In ?edion Mil 
Item itnm
Number Code Sedan FF MW at] on Item Description of Vlola'?on 174?
(it
39, ??3?03r1-2 WILL 1W- 
I: 
If? oft?:19 {mm
_jfm??u 
1.0 53202117, P45 - HaLmdM 
Lino!? 
Ja?: mfg?__L 
_5?1 _n?cgi'?g . fiat; 4? 
1? W15 ?7.qu Kim WEI 1L1LL.
HJS LL mL'L-bu? r. 
IL?lmLme,

Discusslon PIG Cam Mon MW trio in:
El Voluntary Compliance Empbyea Restriction I
Exclusion??
El Re?lnapootlon Scheduied Emergency Suspension
.. EI?Embargo EIiEmBFQency (Elosuro
I iVqunEr?y $3me I Iomer 
(mi :11, ,llrf
"Inspector's Sign-mmJ-7 Data.
_L?/ggii

Rev. 1 112016

427%

 

 

 

 

 

 

The Commonwealth of Massachusetts
City of Salem Board of Health

120 Washington Street. Salem MAO1970
{9781 741-1800

 

Food Inapectlon Form

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nephew?f

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Food-3m I I: 

#Vlola?ons ?a -

P?nr?y I 935.

Score 
_[?ucam

 



rim?" (ILL 


HESS RISK FACTORS AND HEALTH INTERVENTIONS

Date 
11m In 
Out

 

Dleden?al ?when

DMohlla

DTampurnry Pra-Opemlion
BCadarBr [151.15de Illness
8. Breakfast DGenmaI Complaint
EJFarmar's Market 

er. qudn

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

Urdu-far Guru-balm: [Inn-u on an hips-mm: may.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

?lu?n'rls

 

 

 

?mums-zed

 

 

 


mdms?unoffoadmbH-Inmlm?mn. 
tnnI dmbf?r?-mnr.

Pic" Signature:
Inspactoljs _Blgna atom:

I

- .-


4141;54- #54 I 

 

Brim; rd:
Fellow-Up:



 



Githd aw: MT hwummcoamdmn
. IN: lamina: m=mmummw?m R=mdu?1hn
Compliant: 81:11:: I 008 1.9m 
summon 17 dewimw x11
1 femur 'f'c?wmmim?? 
2 ImourwA 1a Journmwo wmdmaw I
'EnIpIuyndi-Iulh 19 diagram mo 
-.
3 lrgy'OUT 20 ?gumnmmo Woodwind-haw
[Air?ow 
5 INPUT 22I Ingmar/JIM: mumwmm
35f MO- 
_mour Prnparm.hll'u.dhm.orhhmom 24 IN on 5550_ 
7 INOUT _INroj Nodhchamo?unoyaa.moa.mdnw?u 
25' IN 
1?3: ?Ti wandmmihi?Popuh?unsII-ISP}
9 

10 mm? I, 
midi. 
foodnutgtledmwmudseum 23 IN Twat. mam a
with ?99m Pmdum
Foudmcuwdhgoodcmd?on.uh.& 2?9 IN ?a I
. 
111;?: w??mo .
I- a . 
. Imam-3mm Pub?cheam
E?wmm -- interventions era control 

16 
GOODRETAILPRACTIOEE
alumina. Ind 


MM: I 005 I Compllance Status cos 
MFoodandm .. 
30 Few 43 
31 wygemwmm 4A mwammwmaladlmded
32 .45 
. FWITBmpEmlum 46 
33 hm,? . usensus. EqulmntandVondlna
34 I thmodm'lymolmdlahotholdhg 41 MW
35 Talmud ?ininumahgauud 4? "minimum: Imus-aged. ImIsIdpe_
EMJereimeiae? >231 4% wahedmdm 
Food _thal Fnc?ltlu 
3? FoodmI-ueied: magnum 50 
_51_ 
m. 52 Mimwmm_ 
53 Tellurium: wm?ijdmud
8? 
Pernonlldaanlnaa 55* 

WamnuIIsdu-gswa Mpquabw?l?onlm:mamwed

Bream; UNIwgunAmem ?ns? plenum! [loner -
Mm 
warm-um

'[ulr?lnp?_ lfgipllad?a: Id' l_l_ 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7 - Food Establish-mom Inspectio?n 1:01:71 of; 
Commonwealth of Mumhule?s 
MA 01970 Date: MIMI 
1973) "1-1800 TEMPERATURE 0395171111311? .

_Tg?i'lua?? _ne_mn.nuu_on_ .Tohjpj'n mnomuon Tomp CF)

i OBSERVATIONS moron CORRECTIVE Acnon's"

mualheoorrantad within mo?ma?'amosoraamd kl Badion $10541 awn Fund Code
_Nu?rzrger Code Section :g?mmnda?m Item Dmh?onaf?fsola?on
.LD l_ 41 DCLL L14 Lr .
12L (11111" I111 11111-21 

I 

225315;?- 11L QUAIL L115). (Lu 
thZ-rc 1111-41pr {1111/1 Li: 111;
L11 uL/L'm {Loaf

11:111.. 
.011 (I +19] 
E5177 
1 111L- . L11. Lax-11 
1L0 Scum
Wi?u? ICEDBL CL Lamp-1: and 173 1117111, 
YLHS 111 M11 11 111.115 111 1111:1111:ng If
1. 5 '11?1?1 try/11143511 (>11 1141.1; 11". {1.1.51}
3 r" 
(@an 61% tr.)
EL: L110 17$ QLLULL LOUCLW 1111.10
6115-121; and 111DVolurrlaa'y Compilanoa Employee ?anhfo?onl
Exdusion 
sawed UWBmpeMon
uEmbargo? DEW
'?W?Is?po?s? Ub?ther 
Newman-hm: Lil": 111111.16; m: .
11' 

Ra?. 11(2016


1?7" 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Food Inap?t?l Forir] 
The Commonmalth of Has-nebulous
wm?m?mm ?th1 A 
#Ju 
OBSERVATIONS ANDIOR CORRECTIVE ACTIONS
oftheFo?od Code
?La?r Code Section . :g?wwquim Duaiplion ofVIolation 
:3 3.2le i _ll ?vi _?fll-lnf?l-?l. ?q'yl'l'h?gi
tc'uhn;
iLszL Hr 
__11 LIL gull. mm; Em 1*th
1H 1? 
. LLle/Iil. 
,1 -MAAXL: 
U1 U1 mmum? lOCL?chl- on Win '1
. (my (?fgj?mr a pawn
1.11 
r- L1. h1__J Hl_l:ij__ 
7? 

.. #l 1?315:
4:1 u" If] 7 .UUV- 


if

v'

 

 

 

 

 

 

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4?



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bf Hu?hma?s #wyi?ons "i Data_ 413/ MT 
CityafSalem Board OiHaa?h 3.
Street. Salem MA01970 mm!" ?1.36925.
I cum! I
mij??H .3311 I ?audSanlioenm 
(Tr? (I . .
L31: l; J, Retell DRelnapedioa
1. a 0_ BRee?emtial Kitchen Previous Inspection Date:
Ll_ Mobile
Pam?: 
m5 DTemporaiy Ef?e-Operation
Woman?"J nadir'lgp?p I Foodsdrielyl'TlniogJ? 2m .1 DCaterer DSuspeoHllnees
??ew ElGlmareIGomplafnt
[JFaimai?o Market UHACCP
Elomer Damar: 
DDBO RISK FACTORS AND INTERVENTIONS
our. "70. NIA}loreedrnunberodTiom ?fir?'oppr?h?hausmn .
?-Inmr?m our=natinoonpknoo I'D-rum 0C3- IMM-??d?rhlhaw?m Raf?ainlm; 
I 005ThoITWContol lei-Below
1_8 
Employee Health 19 UTNIAND 
thorium-narrow a 

.um?nE 

. 
manna-memorandum?

7 
. II I I IIle ll 
a T?pln Population: {Hts-9'1? .- 
9 a? llimlilo 26 I 
3 10 FoadYCator d?tmaMToxlcSuhahnc-a 
_f "?35m ?our-m? 27 our rt: properlyuee'd i 
_11 . Foedolmirredhomapprovodmoe 28 Juror A _1 
12 OUTMrero _Con nco 
Fundrm?vedm ood I :me 
_13 modem-lull _29, LHAQCPPIE 
_14 I IN Burg?'0 
9mm? 
l't'om- - prevalent contributing factors of tbodbome Moose ortnjury Public hearth
15 QWWAWO 
1g 3UT NM Food-mm. momma
. RETAIL 

minds.? 
WMm?Ihdtl?n: rural? (ran

 

 

 

 

 

 

 

 

 

 

   

 

(In?ll MMWN 

 

 

 

 

 

 


Complienpem! 008 I [1 gomgllangaStgLue I 00:} 
mrmemrlw-ter 
30i_ Pasteurimdegguuaedjmm?ed . [mum?WE 1 
51TH WWIIOOMIppavedmme 44 I Dim gum?thy: i
.. 
46 dimmedvmvedy I 1

33 m?g?d?i?hmmf? - memos. endow Vending 

34 i 47 I 

35 Wye-ironworedeum I . i

3.3. nmwamm Non-foodcmta?mmdaan

7 1'ng Identi?cation . 33155ny Fae?luti?ei 

:17 o?hiwlgontnhor . I i 

_men?pnMFa? Gem-dilation 5_1 . Woodland?wipes . 

jg 52 SmelmEWp-mputyw 

39 53 wamM_ WWmma?mmw leellT-empEl-lme 

41 55 mehreined. 8r_d_BEn? 

42 58 gdoquoieverrlnauenuglrung: 

57 SFEQAL 1 D?AH-th?fljl?g?. crow. pom U?tiarEAr-rerenmrsoa ooqc'?'jjlmoi taerg?tion [glider

today. thallium- mauled 
Holdall-MM 



hnI'lO; aha-Eda; upturn-err?

{LE-wt

 

'Plc'sSIgneurre PrinE (:5er Deng: 
Inspectors menthol? #314,13- YES 1314.1":

 

 

 

 

 

 

 

 

 

Food Establishment Ingpectlon Form Page of 7
The Commonwealth of Musichusetls
Clty of Salem Board of Health MA Establishment Name: at e' 
120 Washington Street. Salem 01970 
.1933 741-1800 .Slijem HEl?h 0% leJan
UREOBSERVATIONS
Item Location Temp t'F} ?5m Location Tell'p PF) Item! Location Temp 

 

 

 

 

 

 

 

 

 

 

 

 

 

OBSERVATIONS ANDIOR CORRECTIVE ACTIONS
Violations cited In this report must be corrected within the ttme hurries or as etatedln Section 840531 at the Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

nigger 590"? item 
6Q.- nut 
1-0 9202412, Pep flout) :1 +?Z11mun m1 [tm?l?mjj?lmr
I: nk R11 41? A [gang 
knitrunny-f ?truly. Pei" 1"an luff: 1.1 what! fr; ?412.; 5 tuba}
a ?11:01:. 
7 1 3?302, 11 Li .ng ?muff twin men all};
in N. (Jr-j 111/1le {'10 7:11?. El 4.1m? {July}
0v" (a teat {QZ?g?b 
_5i hilt-011g *Il'rl? Lat-11L Jil ?Ag: nt?wn, Kev!) f??f?l
killer: (10+ 
E?o ?n
Dummy Compliance EmplayuT Restriction!
mum
fl Flo-inspection Scheduled EIEmergencySuepenelon
El Embargo El Emergency Closure
El Voluntary Disposal Other
Plowman-m: Dale: 6"?33?79
Inlpeotor'tslunltun Di/ Jj?giy . Olin-$2 7) :71 
rFlavJ'll'ED'l? 7

 

Food Establishment Insane?Ton F?oi-m

 

"l

 

 

 

 

 

 

 

E?age of U,

 

   

 

 

 

 

 

 

 

   
 
  
  
 
 

 

 

Ill-hm GIT=nalin

Guano-111nm muumn? 


 

ll Violations 3 Dale all
0 em ea . 
120 Washingnon Street, Salem MA 01970 mm? ?my 1017;111:3309} 7 ?me 'n ?17
mp 741 11100 Score (calms-'1 11!"er ?4},an
My 1: 
m?ltmi lull} 19L igm San-loo 
mam.? . - 5;;ng Elimination
0? DRasldan?al latchen Previous Inspection Date:
"m 1 Li i" 4 Emu? 
cjrc, M1 15': 5, I. DTamporary DPrB-Operatian
. 7' DCaterer spud Illness
_(?aat?mzuL _g?U gm $101-33? 8. Breakfast GmatalGamplahl
hspedor 'p 1, EIFanner?a Market 
Domar- 
F0 0 ILLNESS FACTORS Wm HEALTH 
Irdl'ul'l

GOES mm

 

1170-an ?5-7151th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#607an lanai?sums Compliance Status can 
uhpm?bnat lunod.
PT 17 mu? mm?mm?fmw
1? OUT- fmmiw 
2 NM WFmdeladhnM??BQU 18 Proptmd?'la?mlmnW'm'mhm? 22 Ebummwo 
Mantra-mi. 23 
'6 1 am we mhm?f) mo 
7 pour mo Mum-ow
Pmn?ng Cami-nation byl-lmds 25 cm mmwwuwl I
001 N70 Hands dean Mum Equw Pnpul?milm
91* ommwo 26 1 7m Wimm? I I
10 mg 
Home 27 :11 7mm: mam-mm
11 OUT 23 OUTWA Truss-um. m?y?mwlw . 
12 1m. mo 
13 our Foodmuivodhmm.uh.l OUT 71 511:3" ?1:3le NAKED

mow-mm

 

 

15 OUT NM

 



 

 

 

 

 

m? RETAIL 

Risk Fasten; ara arms: identi?ed asthe most
prevalent cam factors of foodbome Illness or hing. Publlc health
are control measures to prevent fuodboms illness orir?wy.

 

 

 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  
 
 



 

 

 

 

 

 

 

 

 

 

 

 

 

'niigptim 513mm /f7 

 

a?oadofl-lealm

Ymm?mnlhoinw??mmd

Im an Pam 

1516'- __s??ratu '7 first; _Ql e' Fag
Folbw-qg:@ RD {gnu

Hut'rin mmaumlw? 11:57.35. ?31?
E?l?lg?msml cos I MI 1 cos 
7 hum-um ngrunutm
30 43 hummus-1
31 mammwm 
3?2 45 - 
FoodTmpar-ah?conhul 4a emwmw 4
33. - 
34 47 amuwmm-medm-
5E 4a 
49 
Rodi-11m Pinata-l Faith;
37 1 51) 
51 mwm:mmam
"3'5 . 52 
39 53 owl-1 ?and
4D Pumnaldm?naea 54 
mac?111s: Mull-dim 55 mammal-mums? 
17 ohm? Hummus-mum: 
5f

?mm ubmf?w new! gal 
new?

deouddl-laallh. 


??gf?rp?m tiff





 



 

 

 

 

 

Food Establishment ln?pac?on Form I Page .2._0f -
The Commonwealth of Massachusetts 
City of Salem Board of Health Establishment Name: Date' 2 [2 913
120 Washington Street, Salem MA 01970 
54-119.? tail [?544 
ogsatmimN?s 
Emu-05560.6 - Temp. linnl .1 W911 Jam-p.11 . Tamp {?Fi

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OBSERVATIONS ANDIOR CORRECTIVE ACTIONS
?Vio_l?llor? at'?HIn 'th'l'a rhp?ti mustbe mneotadwl?'lln?'la?ma tremors: stated In Sadim 3405.11 oltho Food Gods

 

0?0de Section

P: Priority ital-n
PF Priority Founda'llun item

Description of Violation

 

 

T111. 53.1w E11143, 151.-

 

51-11-211 6.1 "'1?de burg}; ili??f?i; ?i

Hui/H1"

 

 

6

It"; Vat +0 {Chill 3] 5-1; 1  Hm; ML:
11.1.. if.


?ing] ?u 1- 3111,30. 
and. 1 ML ML

 


Jun I'lf?liulljr. ledj' 

 

 

44.1%. 

 

 

 

 



  

I i it! 1" 71 



Lou; t1 
445' 'n 1'

?7144115 Live-.1

 

 

 

 

 

[?gsio?hbm? *w a

 

hf LLHWI ?1(io 

 

 

 

 

[If CTETMJ 13mm4 waif/?1 Elba:

 

 

 



. 
Lil?(1 $1.1 
LAM

  



 

 

 

 

 

 

Ulla 

Employee Mellon!
Ematgoncy Sumatra-ion

Gull-m Action 

El RE-ina?adion "sancti?ed

Et?bimo

[3 Voluntary 

 

 

 

Dinar

 

7

l?

Binmturo: 
1 inpochr'i fl??i 3/ 
RBif. 11.12015

 

V.

  

Dalia: 'J?Sff. b.1153? -

 

 

 

City of Salem Board of male:
19751 741-1300

FThu Cunmommnlul of mamh??
120 Wuhingtan SM MA 01970

?Fnbci Esta? ?l?ldhmirit ins?paEtion Fo? 
Establishment Name:

MAM
OBSERVATIONS CORRECTIVE ACTIONS

 

 

'Page?Lof??fn
[mm



 

 

P-Hfa?wm

 

 

 

      
 

 

 

     

 

 

    

 

 

 

 

 

NumboL Code Section PF Prlu?y Founda?on Ibarn 0' Violation
34303: 1'2 Lmid??u??IS In
"?g-Didi 1 . 1' ?xulrd. ?r-1Jm} 011cm 
1. Luaub?E-m .
- 
rJnJ: Eon/J J1anMua-h1mnvuj?J?L
ailing 
3_ man/5;. {1911111- EMMA- 1(1er Ja iguujL.

(00m Raunmi? Lust-J In :23 (JUIJLH 

 

 

. 1111111.me 

 

 

 

is? 1.1

 

 

Joun'k H1 
44-11411:th WILL

Mi $14.21; (J NJ 

  
    



 

Cum-5 Ir'?L'ur; Eij-- ?471/3 La JJL

 

 

 

 

    
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

[n n?ghm LS Eff-fig:

r' 
Ii 'J'rfJ 11-11 Elihu? 3&1.
r9110; .1119) 1311A: 
m. JJAL. Una} 
(Ll?031.27 J'rrJv?uJ 1' (Ef?gi 
4_ 1.1.12. 
In?! Vial fr? 'J?J'zg? mm mtg?)

 

 

 

 

 

 

 



 



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. 
. 
$11,222.11-

 

W'ssmn??uru J- 
impact-u" Wharf/'1 
Rev 1112015 



Food Estab'l'i?si'lmen't Inspeciibn Form

 

. Number

Thu Wl?h?O?f ?mail-ali-
C?y? of Salem Board of Health
120 Washington Street. Salem MA 01970

191%} 1741-1300

I 



OBSERVATIO

_2

 

 

item

Code Section

Pdor?y Item
PF Priority Faunthlion Item

Establishment Name:

  





   

 

HS MINOR ODRR CTIVE ACTIONS

of ?Nation
- 

 

 
  
  

212'?? 21mm-
LJLA 21.1 2.11;! 4.111 [1.9 H3153 It:



 

 

2? 112121.222W
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if: 

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Fuiha-x 
MML

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2M 

32' [21,113th 

  
   

   

iv,
I 0/12/2012"

 

 
 

:1 

411.1%



 

 

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Slim-?n: 
Inipemr'a Sigi?n I/_r A7
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11?



 

2.252017?

 

Food E?tablishmeht?lnsl?tign F9613

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

\nola?ona [Intel?w
C?yofSaemBoardaf 
120 Street. Salem MAD1970 I ?min??

1973 741-1300 . TimaOut 

I 0 I
L. $511353]: ..ijT bill FoodSeMm RDUMH
Whlu'?'l?dm' (1
5111311591, Emu Rom
Twig-F 1512? ,1 Emmanuel Kitchen Previous Inspection Date:
:lgl-?LLF IFUTemporarv Elm-aparwan .
USuspdut 
. (11111 .115 11131111]: Daedaamm 
Impact: 1 . 1 EIFame-r's Manet UMCCP
1mg; 
F0 HORNE ILLNESS RISK FACT ORB AND PUBLIC HEALTH INTERVENTIONS
a mFW?EriiEhTii'r??t?m 
aura-11111111111111.1111.? . 
99m 1,9113 
17 

1 11111111 

2 I1. E'WmITI?wuuo Pmpetwohimthni?W 1
Em In Hog?{n1 19 mm 


20 Madman-slum?
Wuw?mw .
moi?mrolr'o?moo 22 m?wgmn 

I f?o??m?r?m 23 

5 111.3? momma-1m. duh-?u. 24 TmunPuhicHaolhOmhol ?i

mo . 

meow-unwind: luau .111. 
liuo My 
1,0urNJAwo 26 B111 31m? NM law?, I 
i
m@ Ww?mw Powwow; ond'rudoam 
Apprq?mr?I IN (1111' 41 Fund-11min- 
I 23' IN OUT NIA Toucan. Mid-mod. would 
OUTNIAWE) gammy? and? 
. 1 1 
111?111-12th . "h 1111mm ?F'rohc?on Guilt-111nm pmvaiem combating {datum offoodbomel?nessorinjwy. Pubilchedth
?0 Miam?ons are canton-mamas 
16II If! NM . mm-mmqiwjm 
GOODREFAH. 


5121:1111 (Empitam suing coo TE
i?q fetid? warm?: I Proper Lin oi 
I 4_3 - mm?mm
?1 4i Utm?lquI'bIT?I'lIEhml: pmpadyilnmd. drTod. [Mudlod
3'2 4? mlwulwm mow?manual I
Tan-spomture Mal 4E Gbmu?dmw__119 ?Mandamus? 
F?m_ 
II 50 mamas-unlaw- 
Pmu?gnan?-? I 51 
33 1mm, 1131111111?th . 
39 53 would. 11.de

Ii 5,5. mum-1m. mum. anion 
I mmawm?d?um 
3-7 Mimmrm and 1 DTobowo 00911 Elm dynamism Emmy-1.11 uln?m om??
mma?m walk-11 mamj? 1251a Q?rgdilam $111.1? mm 
Imuummuu?mmww?anw 111-1111:

ulimnutlmn?l'fodm

135119; 

5 81911311111:

Inspector?l llgnatum: 

u?.Wm.Hr? IllaIgInf?I. 1.111111me Yurmquemm- 111-1?lnqu-19
5; Fill I?I-fl Print 1 I1 
If?" I If: YES D313. 

art 





1

mm 

 

[360d ETt?abilsl?l'l?I Inspectioi Far-in? 

 

F?Tho commonwealth of Henchman:

Establishment Mama;

 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   

     

 

 

 

 

 

 

City of Salem Board of Heallh Date: by 
29238119511181? smut. 1! .1 1301111121 11.13
TETIWRVA 
lamination i 7 _lhrnil..ocl?on Tampl' F) Tompf'F)
- 

Nigger Code Section FEE??mn??nn Item Dump??an of Vlola?on
191903-12 Pg 1111 1114111 11 {151? 11 \1 1115 1111,11 111?1,
1 Q11- .. . M1
1514151 tL' 
1,9 112.5
(1 1 I
5 11'l 1J11111121?1?le

 

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1' 31371?le I 11-

 

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The Commonwealth of mm
City of Salem Board of Health

120 Street. Salem MA 01970
(978) 741-1800

Establishment Name:



 

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Temp mum-Hun Tomp('F) mmILouuon TompfF]
.. OBSERVATIONBANDIOR CORRECTIVE ACTIONS

7_ 

Item 
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1 
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Discussion with MC: WWEM [Jib Ufa
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7 7 75 7mm 31111111111111: El Emergency Suapanalon
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TIia CommonwoaItI-Iof?mchus?aih? #Vlala?om ?ng ?771;: 
9111:1111} PrIarinIaundaumO Eura- if Time In a" 
120 Street. Salem MA 01970 OI, f? 
59715174111300 magma 3ng #453,553 
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C?yof Salem Board 01' Health Establishment Name: 5?
120 Washington Stmet. Salem MA 01910 a 3 
1973) 741-1800 1/ +914 cm? mm 3.9147 Sal. N.)
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OBSERVATIONS ANDIOR CORRECTIVE ACTIONS
WIIa?ona died In ?'rln IBpon muot be'mrl'adad withln mourns rramu or an mm In Section 3405.11 ul'lha F109. poms



 

 

 

 

 

 

 

inter Code Section Item . Description of Violation

9L1 5114:0119; - [>11me 1.3m; 9,1222 Kai, (A .1 =1
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Discussion with rare: w? Mum Duo
Voluntary Cumplimoe Empluyae Restriction 1'
Exclusion
Re-lnapedion Scheduled El? Emerge?nay Sua'panalon
E?bargo Emer?ency Clea?urn 
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MI 3 ruin
pact?r'l 55? ?/4114- 
FEW. 1112916 . 

 

Date: ?ff/2?55