CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 .eQ/Earo/kr m.(14.710 @310 610111201004 301ml terse Mair) 81710171 Purpose: Owner. mar/mm P__orsun In Charge W??r Based on an Inspection this day. the Items merited be Ir?ys m?i?si Gib? ?43535 Type of Operation: Food Service Retail Food Routine Follow Up Complaint Investigation Other UCIUUSK the violations in operation or facilities which must be corrected by the date speci?ed below. This report, when signedby a Board of Health (BOH) member or its agentconsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. If aggrelved by this order you have a right to a hearin Your request must be In writing and submitted to the BOH at the above address within 10 days of receipt of this order. ITEM I I cone cope FOOD PROTECTION MANAGEMENT 23 4-6021 3 Non-Food Contact Surfaces Clean 24 41-9031 1104.11 Clean Equipment and Utensils Properly Stored c1 590.005 NB person In Charge (PIC). Assigned. Knowiedgahle 25 4.90411 Single Service Articles Stored. Diapemed Ci 3?503.? Consumer Advisories 25 44502.13 No FIa-Uae or Singg Service Articles FOOD WATER 0 590.004 NB Approved Source 2-, I 5-101 .11 Approved Source 3401.11 No Spoiiage 1? 5103.11-42 Hot a Gold Running Water. Under Pressure 01 0 590.004 Labelhg of Ingredients, Recalled, Allergen $202.18 Shellstock ID SEWAGE $203.12 Tags 8. Records 23 CI 5402.13 Sewer and Waste Water Disposal 3602.11 Food Labehg 02 3-201 .11 Sal'e Food Handling Instructions PLUMBING 29 I I 5-201m2.11 Installed and Maintained FOOD PROTECTION. TIME TEMP. so ICE 5403.14 Cross Oonnectton.Back Siphonageeadtnow 0mm? ?mam? TOILET no HANDWASHING FACILITIES 0 0403.11 Reheating A 03 $501.14 Cooling 31 .0 5-2031 1 Number. Convenient 0 37501.15 HOI and Cold Holding 5204105.? Location. Restricted Use. Accessible 3402.11-.12 Parasite DeetructioniReoorde Retained $202.14 Toast Enclosed, Self-Closing Doors 04 $301.11 Facilities to Maintain Product Tempertures 32 6-501.11-.12 Fixtures Clean, Good Rg?lr 05 440212 Food Thermometers Provided Hand Cleanser, Hand Drying. Signage 06 34501.13 PHF's Property Thawed REFUSE DISPOSAL FOOD PROTECTION FFIOM CONTAMINATION 33 5501.134? Adgu_ate Numbe_r. Covered,Vermin Proof 07 0 3-306 14 No Reuse of PHF's or Unwrapped Foods 5501.118 (.2an 08 3305-0111 Food Protection: SIorage.DiapIay.Tranaportation 34 5501.111L115 Outside Storage Area Clean 3-3021 1 Separaliun?sgregatlcn. No Cross Contamination INSECT. RODENT, ANIMAL CONTROL 09 3-301 11 Handling oi Food 5. Ice Minimized. No Bare Hands ,0 3.30112 In Use Utensils ProperIy Stored as I cl 05014111115 Insects, Rodents. Animate. Outer Openings PERSONNEL 38 6-201.11 Floors. Constructed. Clean. Good Repair 11 590.003 DIE Peisonnel with Intactions Restricted/Excluded 37 3.20141 Walls. Ceiling, Attached Equlp., Clean 0 2601.12 Proper. Adamant Hand Washing 38 $303.11 Adequate Lighting 12 590.004 Prevention Of Contamination of Hands 6-202.? Fixtures Shieided 240111-12 Good I-Iygenlc Practices 39 6-304.? Rooms and Equipment Vented 13 24504.1 1 Clean Clothes, Hair Restraints 40 8-305.? Dressing Room Clean EQUIPMENT AND UTENSILS 4? 7-101 .1 1102.11 Toxic Items: Original Container. Labeled 14 ?02.11 Food Contact Surfaces: Designed. Maintained. r-zoi. I i Stored Separately 6-5011 131.114 Premises: Maintained, No Unnecessary Articles 15 $20216 Non-Food Contact Surtaces: Designed. 42 5403.13 Mop Sink Maintained. Installed 2-1 03.11 No Unauthorized Personnel 4-501.11l.15 Dishwashing Facilities: Designed. Maintained, 43 Separate LWSleaping Quarters 16 lnstaled. Operated 44 4-BO2I03.11 Cleanln and 810 of Solled Linens 44301.12 Three Compartment Sink Provided. Dralnboards 4-903.? Storage of Unen. Clean EIEIPH Sing.Serv. Articles 17 4-204.1 124'] 15 Emmet? Themetel's, Pressure Gauge HIGHLY SUSCEPTIBLE POPULATIONS 4?302? Test Kit Provided to Test Sanitizer 1B 44503.12 Pro-Flushed. Scraped. Soaked 45 Cl 3-801.? Food Restrictions and Food Preparation 19 Wash. Rinse Water Clean. Pro erTe rature Number of violated provisions related to foodbome Illness 20 4-501.112l114 Propeny Senittzed wIChemIcal or 160 Water risk factors and interventions. (Red Items M.01.03.07.08) 21 34304.14 WIplng__ Cloths. Clean. Sanitized. Use Restricted 22 460211 Other Critical Violations inspector?s Signature. Food Contact SW Print 02100702? 10an Print. Scheduled Date cl Date a Compliance Inspection 3 Result CITY OF WOBURN BOARD OF HEALTH Woburn Clty Hall, 10 Common Street, Woburn, MA 01801 781-897?5920 Eetebllehmen?t?eme WVEOM namqlawhr} 990$ Mam 8m 0 Item No. In the space below deecrlbe all vloletlone checked on front page. 01. ?911'fo 1%dnmg?raF (iv/roar 1%er MP. OL 27% ?lo/j Hg 72:76? lak?s cw Mfr/mms at, ?ux (unimm 0L Hand 8an: WU) Warm? MubMF/m- 0L SEW um: 6mm; 9W4 41/6; 0L (m kP+ heegg? 0L Kim/?x ?183)? mx/L ?ne/{5r ?29354)?: 01/, 47m; rm amid/3 1/111 1/24. Mam 0L 0% mam Cali/m mfg/m 0 Am . w/th/E 474771 Obi/{S ?n?n ?7 jh Md Wadi/n CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 School I Address: (161$ Win Purpose: Routine Talent-ma: F4261 most Operation: CI Follow Up . oo ervice Com I Int Mr- if. LYIVICCs Retail Food CI Invesriigation Tarn orary Food Other Person In Chgge (PIC) i WW: Based on an Inspection this day. the Home marl-red below an the violatlo in operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or Its an order of the BOH to correct violations. Failure to comply with this notice may result In immediate suspenslon of your permit. it aggreived by this orderthis order. rrEilI CODE ITEM CODE FOOD PROTECTION MANAGEMENT Person In 4-9041 Consumer Advisories 13 F000 UDUDK Hot . Pressure of $202.18 In SEWAGE 12 Records 3602.11 3-201.? Safe Food PLUMBING FOOD PROTECTTON. TIME s. TEMP. CONTROLS 5:23:31 OILET AND HANOWASHING FACILITIES 3-403 11 3-501.? 5-203.? Number. Convenient 3501.16 Hot and Cold 5204/05.? 340211-12 Parasite Destructioni?ecorda 6-202.? .11 Facilities .11-.12 Fixtures Good 12 Food Thermometers 301.11-02.11 Hand Cleanser Hand REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION or Foods . Area comma? INSECT. FIODENT. ANIMAL CONTROL No Bare Hands Use Ulencils Property Stored Outer '3'?de f?r PHYSICAL Vermin Proof PERSONNEL 590 DE Personnel with Infections HeetrictedlExcluded 2-301. 2 Prevention of Contamination oi Hands Practices and Vented Hair ?1 OPERATIONS EQUIPMENT AND UTENSILS 7401.1 11 Contact Sunaces: Designed. Maintained. 7-201.1 .1 1 Contact Surfaces: Designed. 5-203. 3 2-1 11 Facilitlea: Designed. Maintained. 6-2021 1! 11 .11 of $301.12 4-903." . Articles ?04.112145 . HIGHLY POPULATIONS 4-30214 est Kit 4.600.122 3301.11 and 4-501.18-.110 oi violated provisions related to ioodbome Illness 0 .112/114 and Interventions. Items 3-304.? 4?602.? 4-202.? $202.16 4-501.11l.15 '7 Date or . .Otlyia?g'?uli?'ltc?llun CD.) I CITY OF WOBURN BOARD OF HEALTH Wobum Clty Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 mm? A Hmasm 136ng Smool Wig/??5 mm 9% mam Wad Item No. Inthoupau below describe all violations checked onfrontpago. . 61; ?a H?mzrr (9 ~72 v: (rm mm {7502ng ??dar?f/r/a? (3 3 7 6? day ?p?gm?b 0L 2AM Mn! [my/[42d HUME [/9me my, Hmd' 9mg,? We MM: 0L Yew Hm/a ?fizyme? q/rd q/Ec-r 0L (ll-Mn c? 0?de 17mm Fm n/our?r. .- 753% CW fr?f 6" tin/?n; ?ea/)6 Hj/H'l? {Vt/(In 0am?" fwd/Ink 17m? 14 (Hf/15 an 171m qm?m?mpt 1m. 3MP 3/777? ?/p?ulv x711; Mm HA OFF (7 (arm {id/1 308.514"- {imam? szu gums. hum Fad.? (ammo/aura WMm/m f?f A man vmmr?jupb CITY OF FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 resin Went mriizy/xe OIQ 10 ISI 66.1.. lIgoruraose: ne Teleghonu: qu? 831.; i 3 2m: 1: Operation: CI Follow Up oo ervice Com leint ?ier WKK ?rst 133/ VIC Ci Ftetail Food Ct InveslIigation Person In Chime Fl I $1 and 5" Other MEW: Based on in inspeclibn this day. the items marked below and the violations In Operation or facilities which must be corrected by the date speci?ed below. This report, when signedby a Board of Health (BOH) member or Its egentconsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. If aggrelved by this order, you Your to the BOH 1 this r. BIDDER FOOD PROTECTION MANAGEMENT :3 Person in 25 Consumer Advisories 26 F000 5401.11 3401.11 No 5103.11-.12 .i at Shellstock ID Records and Safe PLUMBIN FOOD PROTECTION. TIME a TEMP. CONTROLS ?aimed AND HANDWASHING FACILITIES Hot and Cold Parasite DestructtortIReoords Retained Serf Good Hand DISPOSAL FOOD PROTECTION FROM CONTAMINATION 3-306.? Fteuee oi or Foods 3305?0111 ad 3-30211 No Cross Contamination 3-301.? No Use Utensils Properly Stored 5501.111? Rodents. Animals. Outer mean for FACILITIES . RODENT. ANIMAL CONTROL with Hand of Contamination of Hands Practices Hair OPERATIONS AND UTENSILS .11102.? 7 .11 Contact Surfaces: Designed. 5203.13 Installed 2403.11 Facilities: De?gned. Maintained. 11!.11112 12 Sink 4-903.? ol Clean . '1 SUSCEPTIBLE POPULATIONS 14 Sanitizer Soaked .11 .1 01 violated provisions related to ioodborne Illness Sanitized +202 11 Contact Surfaces: Designed. Maintained, ib20216 CITY OF WOBURN BOARD OF HEALTH Wobum City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 Amwa?n Mm? (391$ main Wear ?Ld?l? ItomNo. Inthospaoa below ducrlbe allvlola?ons checked on front page. at arm?xm ?fear (77: 01:, W?m?z?f? 0/0 ?3dele Why/Ara! q? p/Mn ng (3065 mom Pmaoqxfr??; H713 Glows 0L min/xx Wham (2 Far: 0L 2)an 67/2211? MIQL Q/F/vm l/Lf? [zip/705 W?m 11 0L (Mfr (EL '?mh mam (71?me Owe/Pd.? 0L Qm?l?? Pan/1a Elnbm- Li'lI-i ulna 01? Gama Fr?eery an? rpm/iv- 0L 4! (my 115%: :1 mqu?? 0L milk (?s?wmaa?r mama? CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 um. Mini/Km Emirate/u M: 097/3 Purpose: . Routine 9/ nicotine: Type gt Operation: El Follow Up Cl Food ervlce Complaint 0 Owner. Retail Food Investigation 0 Ebony Food Other Cl Person in o?i Based on an inspection this day. the Items merited an iy violsti he in operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or its agentconsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. if aggreived by this order. you 590 {El-803.11 and ITEM FOOD PROTECTION MANAGEMENT 24 Person in Consumer Advisories FOOD No of Shelislock ID 2. Records FOOD PROTECTION. TIME TEMP. CONTROLS within 10 oi oi Contact Surieces Clean and Utensils Service Artistes cl Service Clean WATER and PLUMBING and TOILET AND HANDWASHING FACILITIES 5203.1 1 Hot and Cold Parasite lies Thermometers .11 $202.14 5501.11212 6-3011 1-02.11 4-202.? 4402.16 4-301.12 4-2041 121.115 14 $603.1 1.18: 10 14 394.14 5 16d Date thawed FOOD PROTECTION FROM CONTAMINATION Foods Contamination No Bare Use Utensils Property Stored Utensils Provided for Reuse of PHF's or with Infections Restrictedt'Exctuded Hand of Contamination of Practices AND UTENSILS Contact Surfaces: Designed. Maintained. Contact Surfaces: Designed. Facilities: Designed. Maintained. act 45 REFUSE DISPOSAL Number INSECT. HODENT. ANIMAL CONTROL PHYSICAL FACILITIES Altactted Vented OPERATIONS oxic items: Container. Labeled Articles and . Articim HIGHLY SUSGEPTIBLE POPULATIONS 3-801.? of violated provisions related to foodborne illness teeters andi CITY OF WOBURN, BOARD OF HEALTH Wobum Olty Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 WMMW AHWME demo! Wm Item No. In magmas below domino allvlolatlons checkodonl?ront page. 0L SML J35 Fina/3 0L 00? 51:5sz 1? Em lamx?d c? (?Dan (it, a (100? (?mlcr 6ch (?Lgrm mm. 0L (hwqb?a?ewx: 1* 1695 #926? #51417 (5L Dru (305m (111 food [aha ?ared 0L CHM labia/(m med in Oh (31mm Glows (1L FIOOKLWCAHS. Gaillrt'ls CHIHQL m( (J mam (3L (Mania W?'f'mnm HUT H30. 3 ?Ir/?nah [mm 1mg clam 0L UM dew LAW War-m Mag/L 0L mm? (1mm mmomr?m CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 mrinmr .ianooi 0.3400001 . was. ou me me ?g 5% ?(912-1 lype 01 Operation: 0 Follow Up ood Service Complaint 0W ammCH/k Retail Food Investigation - mporary ed Other Person In Cha 3 PIC M0 sand on an inspection th a day. the Items marked :9 0w 0 the violations" In operation or facilities which must be corrected by the date speci?ed below. This report when signedby a Board of Health (BOH) member or its an order of the BOH to correct violations. Failure to comply with this notice may result In immediate suspension of your If aggreived by this order, you must be in and submitted this order. mm ITEM CODE FOOD PROTECTION MANAGEMENT ?3 4-90.11 1.1041 1 Person in 11 Consumer Advisories FOOD 3-1 01.11 No 590.004 01 $202.18 Shetlstock ID 3-20-11 2 Records 3602.1 1 Fund 3-201 .11 Food FOOD PROTECTION. TIME 81 TEMP. CONTROLS PLUMBING Cross TOILET ANO HANDWASHING FACILITIES 3403.11 3501.14 5203.11 . $501.16 Hot and Cold 5-20-1105.? Location. Use. 340211-12 Parasite DeatructionIRecorde Retained 6402.14 4-301.11 Facilities to Maintain s-so1.11-.12 4402.12 Food .11-02.11 Cleanser Hand REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION No Reuse of PHF's or Foods Protection: cm? 0??m'nam? INSECT. FIODENT. ANIMAL CONTROL of Food 81 Ice MInImized. Ne Bana Hands In Use Utencils Properly Stored Rodents. Animals. Ouiar Utencils Provided lor PHYSICAL FACILITIES Vennln Prool PERSONNEL Personnel with Inteciions RestrictedIExciuded Hand Prevention of Contamination of Good Practices OPERATIONS EQUIPMENT AND UTENSILS 7401.1 11 Contact Su?sm: Designed. Maintained. 7 .11 6-501.1 .114 Contact Surfaces: Designed. S-203.13 Installed 103.11 4601.11/.15 Facilities: Designed. Maintained. 11 .1 4302/1131 1 .12 4-903.? of 112/: 15 a? HIGHLY SUSCEPTIBLE POPULATIONS 4-202.? 4-202.16 $001.1 1 4501.18a110 oi violated provisions related to Ioodboma Illness 4?501.1121114 In . 01 34304.14 4-6021 1 Violations DECOR CITY OF WOBURN BOARD OF HEALTH Woburn Olty Hall, 10 Common Street, Woburn, MA 01801 731-897-5920 Clarity/3r Elf/mm? .Tahml ?m (?mlml :?mu Item No. In the space below deecrlbe all vlolatlene checked on front page. (Y7 - deayfquOJWF OIL . mme rfola?k? (L myth/JFK! my, mm 0 mo {gum 7275/3 at 05an ml 1L 07.972433 .0L (3L Cl gnu/{r551 H?h Ohm ma Mam/21? Wang ?lwdba. 0L HIM 1935261 Bars 419m 01mm. or, (?You @0570 555?? Frm'w firms (Hp/m (3: (mm by mm: 7/3) at rm! 07m- mm mm mm CL . mic?0479M Lm W?irsqm/m mm. {WV/11mm? Mm: ls ?u mjl- mrJi/zgmo? AL P7073 LUCLUS. (Vi-Jmm- [h 6mm mar/r (5f - .Unl/ (I?m - AL Momma. 0r mm 1' ml .1 1/1. .1 - 1/4 u} 1417157401erm (it, nah m?u Sr: "an 5779/54 Flt, ?Walsh {mm (1m CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 ?a?umr Eiermntam Sahmi ML 0 Mai 18 1 Address: Purpose: Telephone: .320? 383? Type of Ooeration: Egrgmegp Mn 24mm r11 Mimi/rte, 3 ??iZl?iiZf-?ion Temporary Food Other Person In Charge 3909?? MW: Based on an Inspection this day. the items marked as aw anti 3 violeti In operation or lacilities which must be corrected by the date Speci?ed below. This report. when signedby a Board of Health (BOH) member or Its agentconsitiutes an order oi the BOH to correct violations. Failure to comply with this notice may result in immediate suspension 01 your permit. If by this order, you have a to a BOH at the above add CODE CODE FOOD PROTECTION MANAGEMENT :3 ?5:11? 11 Person 25 4-9041 1 Consumer Advisonee 20 $502.13 FOOD DDUDR No 11-.12 SEWAGE ID 8: Records Senor and 11 3-20111 Instructions PLUMBING FOOD PROTECTION. TEMP. CONTROLS Cross 3 edbn?adt TOILETAND HANDWASHING FACILITIES . Convenient Hot and Cold Wmia Parasite Destru?oaneoordS REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION 5501.13.17 Vermtn Proof No Reuse 01 or Foods 5501.116 55011111115 Wm? INSECT. RODENT. ANIMAL CONTROL 0 Use Utencils Property Stored Cit-liar PHYSICAL FACILITIES PERSONNEL 6'201.11 DIE Personnel with lntections ResidctediExoiuded B-201.11 2-301.12 Hand 15-30311 590.004 Prevention of Contamination of Hands $202.11 Shletded 2401.11?.12 Practices 1 and Vented 24104.11 Room Clean 1 OPERATIONS EQUIPMENT AND UTENSILS . 7-1 1 11 DIIG +2011 1 Contact Surfaces: Designed, Malntahed. 7- 1.1 I114 11-20216 Contact Surfaces: Designed. 11 4-501.1tl.15 Facilities: Designed. Maintained. 111/ 11 Quarters 11 Boiled Linens 4-9031 1 . Articles SUSCEPTIBLE POPULATIONS to Test Sanitizer Soaked 3-301.? 5 and 01 violated provisions related to foodborne Illness Sanitized wlChemIcal or CITY OF WOBURN BOARD OF HEALTH Woburn Ctty Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 @Mumr Snug H5 aang? ?red item No. lnthotpaoe below describe allvlolatlonseheokedon front page. Wm 0L Dm mm am?wn' 0L (AW/fitgi (5L n? nit/19m ?Dana mm?: ?@16ng ma?a? 0L umbm Com/(099 EL Flmm?HT?ans 018m (EL 1001 I ?/r?mo 5 Ham ?4005 Clean 0L Lama @34 0L emploz/jav mom/1g max/65 0L Mm mug, Odom 4031: (it JLO lemQ; 653"}: now Jory?725) nome Mump- 0k mam 0L cam (Jlmacfn H- IJIL-J Harm/113% Wang-QM? a 92 OIL Hand Smk- mmr?JMJs? 0L m; If ?mler? 0L ma Man )0 (mm ramir CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 Lama: Lg?ml Date: [2-9 _1 Address: Purpose: Tubman: Type of Operation: 3/ Frat Serum: EI ??giis?aiton 3 Te porsry Food Other Cl .seI-l on an Ins?zlon IhIs - y. the items marked Jelow'IgIa?rTIig the violations in operation or Iacilities which must be corrected by the date speci?ed below. This report when signedby a Board of Health (BOH) member or its agentconsitiutee an order of the BOH to correct violations. Failure to comply with this Inotlce may result In immediate suspension of your permit. If aggreived by this order. you has to the within 10 of or ITEM CODE 590, 3-1 01.11 590.004 3202.16 3203.12 3-602.? 3-201.? MOTH-.13 3-403.? ill-501.14 1B 11-.12 .11 12 4-2021 1 4-2021 6 4-501.111.15 4-2041 115 4-302.? LIB-.11 131114 .14 11 FOOD PROTECTION MANAGEMENT Person In Consumer FOOD Source No oI ID FOOD PROTECTION. TIME 8: TEMP. CONTROLS and Cold Destltu?on?iecor?s PROTECTION FROM CONTAMINATION Footie No Cross Contamination of Food No Use Utenc?s Properly Stored Reuse of or with infections Restricted/Excluded Hand Contamination Practices AND UTENSILS Contact Surfaces: Designed. Contact Surfaces: Designed. Facilities: Designed, Maintained. Pressure 5201/02.? 5203.14 .111IJ15 7-1 1 11 7 11 6-501.? 1 3 2- 6-202. 111.1 1 6 34301.11 Contact and Utensils Service of Service WATER 8 SEWAGE and Waste Water PLUMBING and AND HANDWASHING FACILITIES DISPOSAL Number Outer FACILITIES Attached Vented OPERATIONS of her of violated provisions related to Ioodborne Ilems . RODENT, ANIMAL CONTROL . Articles SUSCEPTIBLE POPULATIONS CITY OF WOBUFIN BOARD OF HEALTH Woburn Olty Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 mm? "m @w?ium/ (Em: 50mm [10' l6 L45) 0mm: Item No. In the space describe all vlolatlons checked on front page. Mam kh?c?/lm OJL 191m damn (I?kgwd or (MW mm'w (BY. awn/16A gram/1m? Olt SEYE Wafju?ina 0.47m?) mu, anm (Etna/v- OL 36'va [lH- {Ila Mam/1,45% 99mm- all? 3133 0L qu%m% 0L WM Ci, mimd cable/(9L1: 0L mm nnL'? imam/24 at mi IL mm bah/dam (3/405 0L {Mia CELL Hams mc?f?bdrs OIL :1th [21mm my, {brag/AT 0L (1U M3m\ CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 mu Belle (School Address: LIES (1mg: rim 451465134 Warm, rt; .. Forum In Charge . - eed on an inspeEfion this day, the items marked rn orary Food Other 53 09% . . be Identl violet! he in or faClIlIleS which must Purpose: Routine Type of Operation: Follow Up 0 Food Service CI Complaint CI Retail Food CI investigation 0 be corrected by the date speci?ed below. This report. when slgnedby a Board of Health (BOH) member or its an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. It aggreived by this order. you and Submitted to the CODE FOOD PROTECTION MANAGEMENT Person in Consumer Advisories FOOD No of 1 Shellstock ID 1 8. Records 11 Food 3201.11 Safe Food FOOD PROTECTION. TIME TEMP. CONTROLS 340111-13 11 3501.14 $501.16 Hot and Cold 3402.11-.1Z Parasite Destruction/Records Retained $301.11 to Maintain Product $302.12 Food Ti'termorneters Provided 3601.13 Themed FOOD PROTECTION FROM CONTAMINATION No Reuse of PHF's or Foods .T Food 8: Ice Mlnimlzed. No Bare Hands Use Utencils Properly Stored Sell-Service Unit PERSONNEL Personnel with Infections Hand Prevention of Contamination oi Hands 2401.11-12 Good Ptactices 1 Hair 24402.11 Restraints EQUIPMENT AND UTENSILS 4202'? Food Contact Surfaces: Designed. MEIIntalned. 4-202.1a Contact Surfaces: Designed. Dishwashhg Facilities: Designed. Maintained. 1 14 4-501 .1121114 14 4-602-11 Scheduled Date of at ITEM 23 24 25 26 it] ofth W13 11104.11 and Utensils 4904.11 44502.13 Re-Uee 0 Sen-lice Articles WATER SEWAGE Sewer and Waste PLUMBING TOILET AND HANDWASHING FACILITIES REFUSE DISPOSAL 5501.13.17 Vermin 5601.116 5501.111M15 Area Clean INSECT. RODENT. ANIMAL CONTROL 6601.111L115 . PHYSICAL FACILITIES 6-201 .11 Good 6-201.1 1 Attached 6-3011 1 6-2021 1 Fbtturee Shielded 64504.1 1 Rooms and 6-305-? Room Cieen OTHER - 1 11 Toxic Items: Container. Labeied .11 .11 114 Articles 13 111111 11 11 HIGHLY SUSCEPTIBLE POPULATIONS 11 at violated provisions related to loodborne IEI 3 CITY OF WOBURN BOARD OF HEALTH Wobum Clty Hall, 10 Common Street, Wobum, MA 01801 Add? L/b Orarr 781 697-5920 JJb/joai [10' PagoLofL Item No. 1?)?ng In the spa low all vlolatlom checked on front pago. 0L mar nrm? ?at imp 0L 1w mam/m mm dam 104st we;? CL {1 WM CW {QT??amcndac VMIJJ Who?? 0L Flam walls (3!fo (JL 0L 81m ajaa- Wraa?apj pamm 0L mu,- (Juar?955m 01mm (J, ?grzm? .3 .F Foomqjihm Jumm 0L Old/65 0L mum/war 8% 0L 9) bay: lawmrL aCJJan (Saw am) an mm ?lm %m Hin?oao 731mg CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 Mir/c7 m/m/?/HL Mam- fig/Md :7 sunrise: E, Llegnano: 317?!" pip: g1 Operation: 0 FglI?owEIJp CI 0 . 01? If RertJail argdce Eigems?glargon a Perm tn Charmer-I (51mm 1301 mm ?13m? Hm Other 3 mm gong-Jim: Based on an lnspection??iis day. the items marked be owi 011%; the violations in operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or Its agentconsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result In immediate suspension of your permit. If sggreived by order you at above address within 1 at E. ITEM 3-501 1 11-. 4-301.? 4302.12 3501.13 3-306.? 34506011 1 3-302.? 34301.11 34304.12 4-302.? 4-2011 1 4402.16 4-501.11I.15 4-301.12 .112L115 12 Date at Your FOOD PROTECTION MANAGEMENT Consumer Advisories FOOD Source at Shailstock ID FOOD PROTECTION. TIME 8. TEMP. CONTROLS as Retained Product FOOD PROTECTION FROM CONTAMINATION Reuse of or Foods No Cross Contamlnatlcn Use Properly Stored PERSONNEL with Infections RestrictedlExcluded Hand 01 Contamination crI Practices Hair EQUIPMENT AND UTENSILS Contact Surfaces: Designed. Maintained. Contact Surfaces: Designed. Facilities: Designed. Maintained. Dralnboarda Senitized wrCherI-Iicai or 1 Claim: 44502.13 4-903.11ID4.11 4-904.? 13 5201/0211 5203.14 1 - 2 6-301 11432.11 550113-17 5501.116 5-501.1 111.115 T-101.1 11 . 1 1 .11 5203.13 1 13 6-202.? .112 11 11 45 .11 Non-Food Contact Suriacee Clean Clean and Utensils Service Articles No Fla-Use of Servlce WATER Hot 3. Cold Rumlng SEWAGE and Waste Water Disposal PLUMBING Cross AND HANDWASHING FACILITIES . Convenient Restricted FIEFUSE DISPOSAL Clean INSECT. RODENT. ANIMAL CONTROL Animals. PHYSICAL FACILITIES Shielded and Vented OPERATIONS oxic items: Container. oi . Articles HIGHLY SUSCEPTIBLE POPULATIONS of violated provisions related to ioodbome Illness sit far: In CITY OF WOBURN BOARD OF HEALTH Woburn City Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 Hum Elmr?mm Nah/ml 4224 pm: Item No. In the all violations ohookod on front pogomag/r? {21221262de AL 32% d/rr?vjq? 71?, 1-254 WW4 ?24m? 22mm 4/ 4/93 'me/dk?n" I 0L 021 0L (5mg 72mm 02, 442% #1ng 1240422" mn/a?e? Mir 2729mm CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 flit/Id Elemeninm ?501ml Miami/e Mm: pd . :urri?osa: Telephone: q?g :yp: (g Operation: 0 (FzglIJomeUp rv Damon m? chtaail Feoodce CI orary Fond CI Other ?939" in ME . . Q?L?l?L?f??i?L?th??i Based on an this day. the items marked be owl en the l.rielel In operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or Its agentconsitlutes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. If aggreived by this order. you a to a Your ITEM CODE FOOD PROTECTION MANAGEMENT Person In Consumer Advisories FOOD 5401.SEWAGE Im 'ons PLUMBING FOOD PROTECTION. TIME 8: TEMP. CONTROLS TOILET AND HANDWASHING FACILITIES 5203.11 . .12 240111212 2-304.? 2402.11 4-202.? $202.16 $301.12 12!.11 $302.14 4-603.12 4. Hot and Cold Deatmctiord?eccrde Retained FOOD PROTECTION FROM CONTAMINATION Of No Gross Coniambtaiion In Use Utencile Properly Stored PERSONNEL Infections Hand Prevention cl Contamination of Hands Good Practices EQUIPMENT AND UTENSILS Food Contact Surfaces: Designed. Malntained. Installed Non-Food Contact Surfaces: Designed. Installed Dist-mashing Facilities: Designed. Maintained. Sink Oralnboards Pressure est Kit valdad to Test Sanitizer Soaked Sanitizlad wiChernicei or :30 Water Use Restricted 520410511 $202.14 6-501.11-.12 5501.13.11 111 3-801.? Number ol violated provisions related to Ioodbome illness 3. NH II IECIOTS and Toilet leturaa Good Cleanser Hand REFUSE DISPOSAL INSECT. RODENT. ANIMAL CONTROL Rodents. Animals. PHYSICAL FACILITIES Fixtures Shielded Rooms and OTHER OPERATIONS Stored and of of HIGHLY SUSCEPTIBLE POPULATIONS MCI Linens CITY OF WOBURN BOARD OF HEALTH Woburn Clty Hall, 10 Common Street, Wobum, MA 01801 781 697-5920 mm 56mm Address 560%?; Pd. mg._Lm_l_ Item No. In the space below describe all vlola?ons checked on front page. (11493:de Wcm?lmf Oi? dog/y?/KF oz, 61 day (Do/e; @w a5? (3 mm Smkx- arm/Mn (L sz, mm a mag/722% OIL Ejmm ?36}??an 0L bm mm 0AM CW, Wma gquzes? Flam mulls. Clam ct 000:1 rpm/r 0L will: hall/W? Ila? OK, Elna?ml - 2? 6L Emplo 19c Hm Gloves {mm/1 CL (ma- cam 0L (WmlnedF OL Cleanu Qnod repair CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 J1 {mild/woman ?rm/mm {Wheel 128114? Addrm:& ujuern Wt?d 1.11.1 Telephone: W531i 533%?) Type of Operation: Eargwilp 01.11 Amman. Thad SPYVICCL 33.1133? 3 $5521?? 3 Pam" In {Plclam Temporary good El Other W: Based eh an inspection this clay. the Items marked new??ig the violations in operation or facilities which must be corrected by the date specified below. This report, when slgnedby a Board of Health (BOH) member or its agentconsitiutes an order 01 the BOH to correct violations. Failure to comply with this notice may result In immediate suspension of your permit. If aggreived by this order. you I Your submitted to address within 1 at er. CODE ITEM FOOD PROTECTION MANAGEMENT Clean in Consumer Advisories No Fla-Use nl FOOD WATER 1 .11 No 5 3-202 SEWAGE $203.12 and 1 Food 3201.11 PLUMBING FOOD PROTECTION. TIME s. TEMP. CONTROLS Maintained AND HANDWASHING FACILITIES 31 11 . Convenient undecld 520410541 Restricted Accessible Doslmiorv??eoords Retained 6-202.? 1' 32 til-501.1 1-.12 .11-02.11 DISPOSAL PROTECTION FFIOM CONTAMINATION 13- 17 Home or Feeds I I6 11/.115 Nu Crass Conwm ol Hands Use Utensils Property Stored HODENT. ANIMAL OONTFIOL 55m? FACILITIES with initiations Hand Conlamlnation or Humis Practices and Room Clean OPERATIONS AND UTENSILS . axis llama: +202.? Contact Surfaces: Designed. Maintained. #20216 Contact Surfaces: Designed. Personnel Facilities: Desigred. Maintained, Quarter: 4- .12 :15 SUSCEPTIBLE 12 and $501.1 .1 of violated provisions related to Ioodborne Illness .112/114 and lntanrenti $304.14 4-6021 1 Violallona Scheduled Date CITY OF WOBURN BOARD OF HEALTH Wobum Clty Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 @9an mm WI 4251/? Add? um man SW63 mum?L Item No. lnthospaoo below describe 02Aay??dm @573: CL, Sink #d?a IMF 5mg? 0L 6dm?ma/95W OIL 1111,er @3515 Wedz?r(3 l5?F 61L Fin/yr: ?1/qu ms 0k.- Flam/s W14 ran/I" OIL ?f?s (HOME 013an mob Sim; (Mm (?rm ?i (151% Mm 9m Wmm? wma 104mm renarr (SK, m- me, {)rJKu Mme 9%]me 0y, mc??hr'm we, ntmils mommdu 0L ?(mm mm ?Cirr?morrJ/ermt- 0k, 1m [100m 0 ?rm/x 0L 155am; Wmnm? IMF 5mm) ea CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 1' I H01 u? an Street? Address: r: $1 Purpose: relepjme: #81 4573;}- 7553013 Type of Operation: 2511:112in Ammari; 3 $221330" ?1.55" In Charge (PIC) in War? Toad Other Wm r: ?o Based on En Inspection this day, the items marked (1ng la: violations In operation or facilities which must be corrected by the date specified below. This report. when signedby a Board of Health (BOH) member or its agentoonsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result In immediate suspension of your permit. If aggreived by this order. you have a submitted to order. FOOD PROTECTION MANAGEMENT Stored Person Advisories FOOD Source 5401.11 No 5-1oa.11-.12 of ShelistookiD auFIecords Food Sale FOOD PROTECTION. TIME 8. TEMP. CONTROLS SEWAGE PLUMBING 5-203.? AND HANDWASHING FACILITIES Hot and Cold Parasite DestructionfReoordo Retained Product A Good Provided Hand REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION Vermin Proof of or Foods _11 .111/.115 FIODENT. ANIMAL CONTROL 1! Bare Hands Use Utensils Property Stored Rodents. Outer ior PHYSICAL FACILITIES DIE with Infections RestrictedlExcluded 24101.12 Hand of Contamination of Hands 2401.11-12 Practices 2-304.1 1 ?02-1 1 OPERATIONS AND UTENSILS 7-101 .1 11 Contact Surfaces: Designed. Maintained. T-201-1 1 8-501. 13H 14 Contact Surfaces: Designed. 5203.13 2.1 03.11 4.501 .1 1,-15 Fadu?as: owed. Maintained, 111.1 4802/03.? and of .12 4-903.? . Articles 2? SUSOEPTIBLE POPULATIONS 1 Provided Rinse Water Clean of violated provisions related to toodbome Illness .1 1 1-1 Home 4 Girdle: Surfaces Clean 4-202.? 11-20216 012101311 El CITY OF WOBURN BOARD OF HEALTH Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 a] 1 ha) ?mm? "m Mir/d ?ay/mm Emma/u mm ?m 36; Wman 6+ch1? ?j Item No. In the o?u?o below describe all vlolatlons choked on mm page. 0L Hand 5: m; Hn+ 0 Raw mm?mxjx 0L Erma/J SinL ?kW/Ed" Q) 0L Han/"J HW: 0L 15170 5m? Clr?rfmov In mm r?mir 0L OH (?mplou??r?s HHS dim; gown? OL 63,9 r4?! {1.4 MI [k COOVV 0L 62am Owe/r C5553: 0L in (?ml/r (QQKE ulu/L? He?wrp Flows ?57mg (?Lmrx CL 9mm a (11mm remlr OIL Flo/r5 walla nemm: Sl?rm mm mm ham/k Or Dru gm; SKY labell'mf Trinkd mamm- Dy mf? mm 634mm! 0 t?mpmu?r? JmHu HH {Lawm? OL Owned/,1 Fuller- lame/{Mm Tam mm CITY OF WOBURN FOOD ESTABLISHMENT REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897?5920 I i IddIc: SCI) I Adams 55} LI W15 CIT Pumps?: 9/ Telephone: g'X I (35 71? - ?gm Type of Operation: Ci om. 0mm?! Sitis??s?l.? 8 3 Pam" In Ch? jr??ofg Pin Feed Other I or iP :Bssed on an inspection [his day. the items mania-d beg; deIiR?B'Ie vioialio In operation or faculties which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or Its agentconsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result' In immediate suspension of your permit. If aggreived by this order. you a CODE VBH 3-101." 14 .11 new 3-301.? 3404.12 Ill-302.11 $202.1 1 4-202.16 4-501.1 11.15 Scheduled Date Your must be in and FOOD PROTECTION MANAGEMENT Person In Source of Shellstock ID 8- Records Food Instructions to CODE 13 11 1 13 ITEM FOOD PROTECTION. TIME 5. TEMP. CONTROLS and Cold Parasite DestructienIReconds to Maintain Product Food Thermometers Provided Thawed FOOD PROTECTION FROM CONTAMINATION No Reuse of or Foods Food Protection: Cross Contamination No Bare Hands of Food ice In Use Utencils Property Stored Food PERSONNEL Personnel with Infections ResirlciedlEchuded Proper, Hand Prevention of Contamination of Hands Good Practices EQUIPMENT AND UTENSILS Food Contact Surfaces: Designed. Maintained. Contact Surfaces: Designed. Installed Facilities: Designed. Maintained. est Kit Provided to Test 5-203.? 5-204I05.11 6-202.? 5501.11-.12 6-301.? 11 .17 .111L11 Utenciis Provided tor Self-Service Unit 7401.1 11 11 .11al.114 13 2. 6-202. 11 .112 11 45 (II-801.11 SEWAGE PLUMBING installed and Maintained on. Stored AND HANDWASHING FACILITIES . Convenient Restricted REFUSE DISPOSAL Number IT INSECT. ANIMAL CONTROL PHYSICAL FACILITIES Outer Vented Clean OTHER OPERATIONS at or Clean HIGHLY SUSCEPTIBLE POPULATIONS Resiricllens and Number of violated provisions related to foodborne Illness risk factors and Inlervenllons. YD OF WOBUFIN BOARD OF HEALTH Wobum City Hall, 10 Common Street, Woburn, MA 01301 781-897-5920 Establishment Name 0:35.166 Mldd-lc 111 - Page of mm 55 Loom 8111,01 Item No. In the space below all violatlon: checked on lront page. 0L of,? ?g 5W {Wm- M1017) we, ?lm/l 0 105mm 011110 lilmlr ?1 an! 1101211101 Q11 1111/) E65 Hal: mm mom? main 1/11 mp 512%! (Fr/4111f? ?sh/1?1" 1W ID @3117: 5015 172m 01mm 15629 5112246 191215 19/19 19/1; Ufa/9 1n #f?ilriff a Ham 0.14%? 001?) 1114 Wadi - 19013101105 11566101721" 19% 17ml?) 511110 mama/1111711110 171111011315? #1 (1340? 123161415?sz 39?? Dal/1 11 1mm or (El/11m All/14? 1511911.122; a 0L (L 5L 01L 171??an bond lm/r Mia/7'3 A. Win - CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 I a?uce MIMI: (Emmi 021.4,; I Address: (TI I outine Tebphone: q?l 85% PP: ?g 01"" atlon: CI Up co erv ce Complaint Omar: 71hr 0 m9 1? \S?f I/ff. Retail Food Investigation orary Food Other Person In Charge (PIC) E3 Wm: Based on an Inspection this day, the items marked below dentity the violations In operation or facilities which must be corrected by the date specified below. This report. when slgnedby a Board of Health (BOH) member or its agentconsiu'utes an order 01 the BOH to correct violations, Failure to comply with this notice may result In immediate suspension of your permit. If aggreivad by this order. you a to a must be In and subm to at the order. ITEM cooE CODE FOOD PROTECTION MANAGEMENT 23 1 1 11 Person In 25 11 Advisories 26 FOOD 5401.11 1 No 5-103.11-.12 of 3202.18 Sheilstook ID 1 8. Records 11 3-201.11 Sale FOOD PROTECTION. TIME TEMP. CONTROLS SEWAGE PLUMBING 5201/0211 Installed and Maintained 14 TOILET AND HANDWASHING FACILITIES 11 Number. Convenient Hot and Cold 11 Location. Restricted Accessible Parasite Destruction/Records Retained 14 to Food .1 1 1 1 Hand Cleanser Thaw? REFUSE DISPOSAL FOOD PROTECTION FROM CONT Number Vennln Proof House at or Foods Protection: INSECT. RODENT. ANIMAL CONTROL Food 8. Ice No Bare Hands In Use Utenclle Properly Stored Utencils Provided for PHYSICAL PERSONNEL Personnel with Infections Restricted/Excluded Hand Prevention of Contamination oi Hands Shielded Good Practices Clean OTHER OPERATIONS EQUIPMENT AND UTENSILS Items: Contact Surfaces: Designed. Maintained. 7-201.11 No Contact Surlaoes: Designed. 5203.13 Sink 2-10311 Unauthorized Personnel Fad?uee: Migned. Maintained. 1111.112 Quarters #802,031 1 and 0! Solied Linens 4-3011 11 of Articles 1 .11 HIGHLY SUSCEPTIBLE POPULATIONS 4-30214 4603.12 Restrictions and Food 4-501-13-110 of violated provisions related to foodbome Illness Ci 46011121114 or 180 FWaler 3-304.? 4-602.? 4-2021 1 4402.16 CITY OF WOBURN BOARD OF HEALTH Woburn Clty Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 WMMW (TEL/lee School ?aw/15115 MM 55 Lo oust Pace?Lod? Item No. In the mace belowr duc?be all vlolatlono checked on front page. OIL @0113 ?l/llOl?- (11mm 0L on mug/gs OL [ll/Mfr In ?ery/cal?) I7 Fons. Glam 0L melm 317mm: - (?lm OIL mommy mem? {mt H308 HWF app'rmug?: 3&wa 61mm lem- lair?l 0L mw- In 0001er L?ll [710013 ql 4m ?l?m DL 741le MP5 ?m 0.me .. 0L K?rWn m?m 5am; +32% @0911ch Mm mmlow 0L 34.91910 Sm Own a wool/um (3111* 0L Room walla O?illms- @P?nju mood} *0le 0L ?Bl? mg 0215 (Jami warm Skull/mg 0L pm anmn meal/w and rag/2m 0L mm mm? mm 0?1leme hHr'hon 0L millc LIQF 0L leCooler??), 615;? #2629233? 0L Ona?rm mp 040113 3mm hon/1169110 (L iHr?ll/l fur/97115915031: 0L ?Wash rum. - (bu?mom 010%)er bu #h?l?jjl CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 Nam??me. mlddIC &hmI Date: I 53125: 55 Purpose: Routine 3/ Ma: I 01.5321 Woe gf Operation: Follow Up Cl Food ervice Complaint CI Own Retail Food 0 investigation CI Tom orar Food Oth CI Person In Charge [moi 1/ch PI (TIC) m: er lat for ctlon: Based on an inspection this day. the Items marked be I violations In operation which must be corrected by the date specified below. This report. when signedby a Board of Health (BOH) member or its agentconsltiutes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. If aggreived by this order. you and submitted to within 1 order. FOOD PROTECTION MANAGEMENT Person in Consumer Advisories FOOD Source 5-101." 3-1 .11 No 5103.11.12 590.004J of 3.20213 ID SEWAGE 3203.12 8. Records and Iii-602.11 3-201.? Sate PLUMBING FOOD PROTECTION. TIME I. TEMP. CONTROLS 52011031 mm? and ?mm ?01-12-113 AND HANDWASHING FACILITIES .14 . . a Hot and Cold 1-.12 Parasite Retained Toilet to Maintain Product . Good Thermometers . Hand Thaw? REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION 5501.13.17 Reuse of or Foods 118 RODENT. ANIMAL CONTROL No Bare Hands Use Utendls Property Stored nseeta. Outer PHYSICAL FACILITIES PERSONNEL with lntections Hand of Contamination of Hands lo Practices and OPERATIONS EQUIPMENT AND UTENSILS 740111102.? Contact Surfaces: Declared. Maintained. 7-201.11 5501.113/1 14 Contact Surfaces: Designed. 5403.13 2-1 06.11 a Unauthorized Personnel Facilities: Designed. Maintained, 5202.111L112 4602/0311 and 44101.12 1 Clean 4-204.112L115 SUSCEPTIBLE POPULATIONS 4?302.? 4-603.12 .11 at violated provisions related to toodborne illness 4-202.? $202.16 $501 111.15 .1121114 3-304.? 11 CITY OF WOBUFIN BOARD OF HEALTH Woburn Clty Hall, 10 Common Street, Woburn, MA 01801 781 $976920 (16mg: Kid in Sana)! [95' '5 Address 55 Locu5+ Item No. In the Ipaoo below doocrlbo all vlolatlons checked on front page. 0L (Hubl Frwger (2) OM. Dru (M00 Om dam! mSham OL {h Shell/PSI an?l/PO' Qua/i 0L 6111mm. 024, ml'lu?loolr? 1223m? *6?qu F. 30?: CL WW Hm? 0L ?m Gama/35%? Floor; 0, lam raw-m FrnoloueeS ?ah Olov?) aprons-? 0L 51an mum Olf?n - nL {0a 0L hand OK, 3?hour Inna/lied;0F @lna" mm 0L JU own dehS 4h??lmr I me. 3'1in- OL Oncr'nW quq} (m up? OL I All MUS WJlirY'jS- le?an 0? 0L Salami? (5mm Pmlz?: imam lalaa-V CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 C. mIdaI?Lm?I Detezq bq I LOCO 5731' W?f'j? Purpose: Routine Tm: k? 'q 54 8'6 (710? Pp: cg Operation: CI Follow Up a . oo ervice Complaint Owner: Z?IY?amerL Retail Food 3 Investigation 0 :1 Person In Charge (FICI 'piv emporary Other mm Wham bn an Inspection this day. the items markedb violati in operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or its agentconsitiutes an order of the BOH to correct violations Failure to comply with this notice may result' In immediate suspension of your permit. If aggreived by this order you have a it Your at the above address in 1 CODE FOOD PROTECTION MANAGEMENT NB Person in 4-904.? 11 Consumer Advisories 13 No Fla-Lian ol FOOD WATER No 8- of Shelletock ID SEWAGE 3203.12 8. Records Sewer and Waste Water 1' F??d PLUMBING Maintained ConnectionBad? TOILET ANO HANOWASHING FACILITIES Number. Convenhnt Hot and Cold Location. Restricted Use, Accessible a-402.11-.1 Parasite DestructionI'Ftecords Retained 4 Doom FOOD PROTECTION. TIME 8. TEMP. CONTROLS 12 Provided . Hand ?3 REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION 5501.13.17 3-306.? House at Pi-iF'a or Foods 5.501.116 13-30507.? 5-501.111L115 3'30? 1 cm? INSECT. ANIMAL GONTFIOL 3-331.? 01 3304.12 Use Utanciis Properly Stored 6-501.111f.115 $302.11 IOT PHYSICAL FACILITIES with Infections FiestriotedlExOIuded Hand of Contamination of Practices and 1\I'antlatd Hair Ftoom Clean ?mum's OPERATIONS EQUIPMENT AND UTENSILS +202.? Contact Surfaces: Designed. Maintained. . Maintained. No #20316 Contact Surfaces: Designed. Sink Personnel 4501 _1 11.15 Facilities: Designed. Maintained, . Quarters Linens Sink . . Articles ?13-?15 HIGHLY SUSCEPTIBLE POPULATIONS 1 4 am Kit 1 Soaked .11 and nature of violated provisions related to Ioodbome illness Senitlzed or 180 Use Critical Print: CITY OF WOBURN BOARD OF HEALTH Woburn Olly Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 @616, 3mb Address 55 Ski/w Item No. In the space below all vlolatlom checked on front page. 0L 3mm Jami/(d mar/2? Mm- armed OL DAipMm (Man a bu rm mo mm Oil, HM Elm. warm? ?mg3mgWM; 0L 1% Win}? (Man a? @000 T'erl 0L DOOM [Vi/316(6) F1006 ?9310.3 Olf?xn 0L W?u Floors ?Gama Olmn 141 I Fmplow? ~+lat5 alum. 0mgmolar #159. 3? 1590 6317363, 3977 a, OM OM MNJILS L110- HUI: hold 0L In Dial, (Man-- 0le Rama? ?rm; le? lair-2 1&ch CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 Home Sky-id.? Ellis. Limos-'1 Purpose: Routine 8? Telephone: 9:3 til Pp: cg Operation: 0 Follow Up El 00 ervice Complaint Ci Omar: af?/mf/K Retail Food El Investigation Ci Tern orsr Food th CI Person In Charge (PIC) (MT) be?qi: or Wrestler}: Resort on an inspection this day. the items meritedoe teen ii the violetl in operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or Its agentconsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result In Immediate suspension of your permit. If aggreived by this order. you have a right to a hearln . Your request must be In writing and submitted to the BOH at the above address within 10 days of receipt of this order. men I i CODE cope FOOD PROTECTION MANAGEMENT 23 4-60213 Non?Food Contact Surfaces Clean 24 4-903.11f04.11 Clean Equipment and Utensils Property Stored i 590.003 NB Person in MSW. 25 4-0041 1 Single Service Articles Stored. Dispensed i 3603.11 Consults! Advisories 26 ?tr-502.13 No Ra-Use of Single Service Articles FOOD WATER 0 590.004 AIB Approved Source 27 5401.11 Approved Source 3-101.11 No Spotless 5.10.11 1-_12 Hot a Cold Running Water. Under Pressure 01 590.004 .1 stsliryof ingredients. Recalled. Allergen $202.18 Shellstook iD SEWAGE 3203.12 Tags a Records 23 cl 5402,13 Sewer and Waste Water Disposal 3-602.? Food Labeling 02 3-201.? Sate Food Handling Instrucdons PLUMBING 29 520110211 installed and Maintained FOOD PROTECTION. TIME TEMP. CONTROLS 30 i (A Agog.? Cross Comedion?aok Siphonage.BackFIow 34?? "-13 Um? TOILET AND HANOWASHING 3403.11 Reheating 03 3-501.? Cooling 31 ?0 5.2031 1 Number. Convenient 3501.16 H01 and Cold Holding 5204.105.? Location. Restricted Use. Accessible 3402.10.12 Parasite DesmictiorvRecords Retained Toilet Enclosed. Sell-Closing Doors 04 4-3011 1 FeolTrties to Maintain Product Temperturos 32 6601.1 1-.12 Fixtures Clea_n. Good Repair 05 4-9-0212 Food Thermometers Provided Hand Cleanser. Hand 06 Eli-501.13 Properly Thawed REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION 33 5501.13.17 Adeqirate Number. Covered.Vermln Proof 07 3-306.? No Reuse 01' PHF's or Unwrapped Foods 5.501.113 Clean 08 3305-0111 Food Protecdon: 34 5-501.111L115 Outside Storage Area Clean 34503111 Separation?ogiogetion. No Cross Contamination INSECT. RODENT. ANIMAL CONTROL 09 3-301.? H_a_ndling of Food 8. Ice Minimized. No Bare Hands 10 3304.12 In Use Properly Stored 35 Cl 6-501.111I.115 Insects. Rodents, Animals. Outer Openings PERSONNEL 36 6-201 .11 Floors. Constructed. Clean. Good Repair 11 500.003 DIE Personnel with Infections Restricted/Excluded 37 5.20111 Walla, Calling. Attached Eaulp.. Glenn 0 2401.12 Proper. Adequate Hand War-hing 3 5 6-303.? Adequate Liming 12 590.004 Prevention of Contamination oi Hands 6-202.? Fbmires Shielded 240131-12 Good Hygienic Practices 39 8-304.1 1 Rooms and Eguipment Vented 13 2-304.? Clean Clothes, Ha_lr Restraints 40 6-3051 1 DressInQLRoom Clean 240211 1 ?air Fla?W OTHER OPERATIONS EQUIPMENT AND 41 7-101.11I02.11 Totdc items: Original Container. Labeled 14 $2021 1 Food Contact Surfaces: Designed . Maintained. 7-201 .11 Stored Separately installed 6-5011 131.114 Premises: Maintained. No Unnecessary Articles 15 $202.16 Non-Food Contact Surfaces: Designed. 42 5-203.13 Mop Sink Maintained. installed 2403.11 No Unauthorized Personnel $501 .11 1.1 5 DialiWashing Facilities: Designed. Maintained. 43 6-202 111? 12 Separate Livinngleeplng Quarters 16 Installed. Operated 44 Hog/03.11 Cleaning and Storage oi Solied Linens 4401.12 Three Compartment Sink Provided. Dralnboards $903.11 Storage 01 LinenI Clean Equip.I SIng.Serv. Articles $302.14 Test Kit Provided to Test Sanitizer ta 44503.12 Pro-Flushed. Sci-sped. Soaked 45 I i 3-301.? Food Hestrictlons and Food Preparation 19 4601.10?110 Wash. Rinse Water Clean. Proper Temperature Number 01 violated provisions related to foodborne Illness m} 20 Property Schlitz-3d wiChemic-ll or TEC- Water risk facials and Interventions. {Red items 21 3.30414 Wiping Cloths: Clean. Senitized. Use Restricted 31D 22 4-602.? .. Food toot Surfaces?lean Other Critical Violations . Waemm. nihilism mil/Liam i0 0 . ?is PiG's Signature: Prim: Sdieuilod Date hi NT Dela a. /?7y Compliance Inspection A :1 1 J. 3\ Result . CITY OF WOBURN BOARD OF HEALTH Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 Establishment Name I660 Ml 632/113 Sahib! Date 9569/}? Address Page of aq 8 Wed; Item No. In the space below deacrlbo all vlolatlons checked on front page. M/f) 0L {ma (Mm (iv/1AM Find" (3L hill/Mr 11174?1% 0L 1(1le Clean a Ala/am 0L Hill/W f/ni? 0L Ml" mmne ml?mp 2416" 01; ?41ng In (Bl, 819911? my 1111-511me 01?. Marmara (Mam: 4-11ng AL. 011 Ham Guava?; amm? OL Flmr'x unna- 0&1!ng mood Ola ?226233": 0L Sta/ml?? (91mg; W?e 61m:? 0L Emma/war CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 We 11:) mid/z; 50ml mad/9%? Address: 321?1 mTI/jdjf 1 ?177: (93" 2113:1159: a/ Jemima: #Ji" @311: 831713 5 ?15!ng Operation'r CI 1:31:01?an CI Amman; Food Sen/lac: ?021?" a El Person In Charge (PIC) ?igw food J3, Other Cl Based on an inapeciion this day. the items marked no ow 151mg] the viola one in operation or facilities which must be corrected by the date specified below. This report. when signedby a Board of Health (BOH) member or its an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. If aggreived by this order. you hea mam 1 340241-42 11 12 .1 3-306.? 3305-011 1 3302.1 1 3-301.1 1 $304.12 4-302.? 4-2021 1 4-2021 6 12 .112L115 14 11 .11 4 Your be FOOD PROTECTION MANAGEMENT in Consumer Advisories FOOD No of Shelietock ID Records l'ood FOOD PROTECTION. TIME 51 TEMP. CONTROLS Hot and Cold Parasite Retained Facilities PHF's FOOD PROTECTION FROM CONTAMINATION No Reuse of or Foods No Cross of Food 3. In Use Uteneiie Properly Stored PERSONNEL Personnel with infections ReetneledlExciuded Hand Contamination of Hanib Practices Restraints EQUIPMENT AND UTENSILS Food Contact Surlecea: Dulgned. Maintained. Contact Surfaces: Designed. Facilities: Designed. Maintained. est Kit Provided Rinse Water Sanitized w/Chemicai or 180 Water at ITEM CODE 4?8021 5-201I0211 5203.14 5-2031 1 52041115.? $202.14 8-501.11-.12 .11-02.11 6-501.111I.115 - . 1(02." 7-201.? 6601.1 1 2-1 03.11 8 1111112 1 +903.? 3-801.? PLUMBING AND HANDWASHING FACILITIES n. Salt-Clo Clean. Good Hand REFUSE DISPOSAL oiicl Doors Vermin Prool INSECT. RODENT. ANIMAL CONTROL Rodents. animals. Omar PHYSICAL FACILITIES and OPERATIONS oi HIGHLY SUSCEPTIBLE POPULATIONS of violated provisions related to ioodboma Illness actors and Interventions. er Violations Print items 1 CITY OF WOBURN BOARD OF HEALTH Wobum Clty Hall, 10 Common Street, Woburn. MA 01801 781 -897-5920 Emunahmemuame mldd/g 50100} 34 677?e?f' Page_I_ot_L Item No. lnthospaoobolow describe all vlolatlons checked on front page. Wal?JaIfhm 0L 63 Hm anmm OI. I66 (1655? a semi 91mm (IL 966!) (?60:1 In my) WMM (L 656th 60066,)% 0: 563%; am {35:14 OIL QLL mama 21161:; I53 Smuom (XII 6MP up 09? ?og/3 Ems 0605.61 0L Fina/x us (Elm 16?} 06m {1511ch (II ?26325;: Mom? (3L max/U 00615669 {:17 0L hm 817mm nAm- 6m 14?64113 (he? FImrs~ Cw . 0L- mm u. 5111361154 FY0114 {11061 511% I/Ib??llf?d . (SI A max Dam 610+ Ln m? 6? 5m.) ow OIL- Tram 606061-01 mam mam Yrvw?m (91662051311161; - 2W 0L Meanw- want/m Wl?d?QmL 610 WWI/mud? CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 mIrJa/Ic .?S?K?J?iooi my 128/; i AddressTam: ii )i 5 [This est Operation: EJ Follow Up ood ervice Complaint Dimer. ii??mJ/K i f? (Set/V I CC. Retail Food 3 Investigation :1 Person In 0115:991le 6r, ii $8?er Other WM: 1 meal on an Inspection this day. the items marked be our den: 3% a violation In operation orfacllities which must be corrected by the date specified below. This report. when Signedby a Board of Health (BOH) member or its agentconsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. If aggreived by this order. you Your a BOH at the 0000i ITEM FOOD PROTECTION MANAGEMENT 23 ?602-1 24 and in 25 4904.11 Articles Consumer Advisories +?02.13 FOOD Source 5401.11 No 5-10.11 l-.12 of Shellstock IO Records Food Food FOOD PROTECTION. TIME TEMP. CONTROLS PLUMBING Installed and 1 1'1 AND HANDWASHING FACILITIES -14 Number 3501.18 Hot and Cold Mitt. Parasite Deetruotloanteoorda Retained 4.301.11 Good 44302.12 Provided 350? ?3 REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION Reuse at or Foods Area No Contamlna?on . RODENT. ANIMAL CONTROL Use Utensils Properly Stored s-somm PW PHYSICAL FACILITIES .11 with infections 6-201 .11 Hand 11 of Contamination of Hands $202.11 Practices 6-304. 1 Hair Restraints 6405.11 Room Clean OPERATIONS EQUIPMENT AND UTENSILS - 01 ?(02.11 4402?? Contact Surfaces: Designed. Maintained, .1 131.11 Contact Surfaces: Designed. 13 1 4-501.11I.15 Facilities: Designed. Maintained. 111.112 1 and Suited Sink Drainboarda of Clean SUSCEPTIBLE POPULATIONS nod Rea-triallons and bar 01 violated provisions related to ieodbome Illness 13 4-501 112(11 Sanitized' wiChamtcaJ or 150 Water 1 $202.16 15 CITY OF WOBURN BOARD OF HEALTH Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 mm? "m Rmnr?rju mm: mm Address 3L, $179511. Item No. In the space below describe all violations checked on front page. 0L 51f?" 0L moo Ma (11mm c? 01,0014 ?rm: Gm. 01L MAWML (Mm (hm: damn! an, me ?aw- Faith/1M! Mam or (mam; mejfncagq @591? ma?a'me 0L Sp (915- (9 (3L emolguem 0m mam Mb [mm (kas 4 Wrgm} 0L 4' MSmlHmu jam/(ad 0: (vmn 0m (?:9er 0L den th?/?nQ (L 1L ?111,429 fM/?PO/r??n CF IV) 402? CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 Name: 171/4? Emmi?) qu. I ?#68842er Purpose: . Routine 3/ Te hone: {$3313 5 PD: 08? 013?73?50": CI Follow Up CI 00 ervice Corn taint El WMWL Retail Food CI InvesFIigation Cl 0 Partisan In Charge (PICI fat/002. E?mf Pad 13/ Other :Besed on an inspection this day. the Items marked oetow identity the violations In operation or facilities which must be corrected by rthe date speci?ed below. This report. when signedby a Board of Health (BOH) member or its agentconsltiutes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. If aggreived by this order. you submitted to the ITEM CODE FOOD PROTECTION MANAGEMENT Person in Consumer Advisories FOOD 5401.11 :1-1o1.11 No s-103.11-.12 .I of Shallstock ID SEWAGE 3-203.12 &Reoords 3-602.? Food ?01.11 PLUMBING 5-2o1m2.11 14 TOILET AND HANDWASHING FACILITIES . Number. Hot and Cold Location. Restricted Use. Parasite Desmtc?oruiFlecords Retained Facilities to Maintain Product - Provided 11432.11 Thaw? REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION No of or Foods .T . Clean 0?95 INSECT. ROOENT. ANIMAL CONTROL 8; ice No Bare Hands Use Utensils Property Stored 6-SO1.111I.1 PHYSICAL FACILITIES FOOD PROTECTION. TIME 81 TEMP. CONTROLS PERSONNEL 6-201 .11 Personnel with Infections Resirlciedexciuded .11 Hand 6-3031 1 Prevention of Contamination oi Hands 6-2021 1 Good Practices 6-304.? and 6-305.? Room Clean OTHER OPERATIONS EQUIPMENT AND UTENSILS 7-101.11l02.11 Food Contact Surfaces: Designed. Maintained. .11 6-501 .1 131.114 No Non-Food Contact Surfaces: Designed. 5203.13 Sink 2403.11 8 Unauthorized Personnel Facilities: Designed. Maintained. 6-202.111I.112 Quarters 11 and of Solled Linens 11.9131 1 of Clean . Articles HIGHLY SUSCEPTIBLE POPULATIONS 14 .11 and Food 4-501.18-.110 oi violated provisions related to I'oodborne Illness 45011121114 1? 3304.14 ?02.11 4-202.? 4-202.18 Scheduled Date oi CITY OF WOBURN BOARD OF HEALTH Woburn Clty Hall, 10 Common Street, Wobum, MA 01801 731-397-5920 mum? "m kmngu mix-Idle when! Address M10016 Page_l_of_l_ Item No. Intheepacebelow describe all vlolatlone checked onlrontpage. OL ??er9 (ii/Omar (E 9Q FIN Farm (11mm OIL bm QMRIMM (11LFYN label 150/ mjklelum OIL Si?k. (mm Imam 9M 01, mm 3w, war {a Han ?rms. IN ym?hsm 502m 01mm *3 6L 3- wa Ymb? hbe?m? mxd?wmm 0L 5F Harm F2108 (Mm OL CH H?mwnm??s Hab nmm" 6L m: Hz BMW 410.44 #3961 84 ME: 39 0L In?lb C?lhn/J?S qr If?: dam! deh?/m nu?flt ('Joim/ prep (may Own c? mm: mem 0v, (RH LL86 pm mm 9th CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 I um. immaH Elm/1.1 I 2% am mm? fix-3357i WpeofOperation: Eallg'wneUp Food Service Cl Complaint Retail Food 0 investigation no Other Person In Charge ?fi' hairigg?arf Wins: Zoi?; MW: B?ased this day. the Items marked In operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or Its agentconsltiutes an order of the BOH to correct violations. Failure to comply with this notice may result In Immediate suspension of your permit. If aggrelved by this order. you a submitted to the Owner: DDUDEK ITEM GODE FOOD PROTECTION MANAGEMENT Person In Consumer Advisories FOOD 5-1 .11 3-101 1 510311-12 {assure 500.004 Of . 3202.13 Shellstook lD SEWAGE 3203.12 8: Records 34302.11 3201.11 Sate PLUMBING FOOD PROTECTION. TIME s. TEMP. CONTROLS mam? TOILET AND HANDWASHING FACILITIES Number Convenient Hot and Cold Heslricwd Accessible Parasite Destruction/Records Retained Facilities to Maintain Product Food Thermometers Provided mm REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION No Reuse oi or Foods Food cm? INSECT. RODENT. ANIMAL CONTROL NO Bare Hands In Use Utensils Properly Stored 5501.1 11111 Provided lor Self-Service Unit PHYSICAL FACILITIES PERSONNEL 590.003 DIE Personnel with Infections RestrictedlExcluded . Attached 12 Hand Prevention of Contamination of Hands Good Practices and Vented Hair Restraints OTHER OPERATIONS EQUIPMENT AND UTENSILS Contact Surfaces: Designed. Maintained. 7?201 .11 No Contact Surfaces: Designed. 5203.13 Sink 2403.11 Unauthorized Personnel Facilities: Designed. Quarters 11 and of Linens 4?202.? $202.16 4-501.11I.15 .12 4-903.? 1 HIGHLY SUSCEPTIBLE POPULATIONS 4-302.? 12 .11 and 4-501.1B-.110 bar of violated provisions related to foodbome illness .1121114 tactora Int I 3-304.? 41-60211 VI CITY OF WOBURN BOARD OF HEALTH Woburn City Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 [mm amnm Address 7 I 7' 0+ Page of Item No. In the epaee below describe all vlolatlona checked on from page. 01$ GF/im??xe 6M or. mam/97W 0 32M: 0/1, an 14W- gf: @Xx/S?a Fr - Elba - Midi ?g :7 E1212 97.23572 125$ ., 01, Aymara: 01L Mme Maud/n 0L Imp 51m man?? Glam C: mm; ?lm . 01L MI (MM: ML mm was Ham 0 M??ir 0L 00/11 Molar :33 0? 11 Wm? 01: ,1th - 01? af?rm; I OL mil/7 34/4: f/Fa/V 0L: CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 it.? Elam/Mm School .mgg/?xo/xg Egon in Chmge IPICI mum: Based on an Inspection this day, the items marked be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or its agentconsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. If aggreived by this order, you In tied ITEM FOOD PROTECTION MANAGEMENT Person In Che Consumer FOOD 590.004 AIB Source 3401.11 590.004 3202.18 12 3-802.? Food 3-201.? Food FOOD PROTECTION. TIME 8: TEMP. CONTROLS No of Sha?stock ID Records 3-401-11-.13 11 Hot and Cold Parasite Retained to Maintain Product Thermometers Provided FOOD PROTECTION FROM CONTAMINATION No Reuse of or Foods No Cross In Use Utenclle Properly Stored Food PERSONNEL Personnel wIth InIecIIons 2- Prevention of Contamination ot Hands . 1 Good Practices 24304.11 11 EQUIPMENT AND UTENSILS 4430211 Food Contact Surfaces: Designed. Maintained, 11-20216 Non-Food Contact Sudaoee: Designed. $501.ttl.15 Dishweehlng Facilities: Designed. Maintained. $301.12 .1 121.115 $302.14 4-603.12 .110 12/114 3304.14 11 Rinse Water Sanitized wIChemical or 180 Water Cloths: Food 5 Scheduled Date of Purpose: Routine Type of Operation: Follow Up CI Food Service CI Complaint CI Retail Food Ci Investigation Other CI Tam orary Food ?c?gonoperation or facilities must at the 1 of Non-Food Contact Surfaces Clean Articles 23 24 25 26 Service Articles No Re-Use 01 WATER Cold Water. Under Pressure SEWAGE Sewer and Waste Water PLUMBING TOILET AND HANDWASHING FACILITIES Nuntier Use. REFUSE DISPOSAL 5-501.13-.17 Nunber Vermin Proof 5501.1 16 H01.111I.115 Clean Area Clean INSECT. RODENT. ANIMAL CONTROL 6501.111? 15 PHYSICAL FACILITIES Good CIean Floors. Attached Shielded Rooms and Room OTHER OPERATIONS oxIc Items: Container. Labeled Stored of . HIGHLY SUSCEPTIBLE POPULATIONS .11 bar of violated provisions related to toodborne Illness I Hi OF WOBURN BOARD OF HEALTH Wobum Clty Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 Emmy Date Adams 8w am 81765? Paga_ of_L Itcm No. In the allvlolatlorls checked on front page. GK- grg?w gag/2 OK 6? (10292222402 a ?1111?!th 0/80?) tibial/?10! or wart/22,4; 0a. ?ak-mm 0L ?11619ij 5m 5212:. (MC Mm ma? me $32.0 (Dy/7: MM Khmer 222m: mm Ema await?- 2511:5013 Sam Err} 0k, Ohm/warm 3121/K?am 722 a 011ng #212241ng (1)2 9112) Wag ?ag/1? {4202? Erhahan ?rm nlch?? apnea- ?/mmuww ert 0 (Dim: ?(Ni/7129f? 2m 0L n/L Khmer/?3? 3?7: 0L {jag-11m! my Lao/15M -maa~W? (5K, Floors ?Yum Ole/1n min/10m? 122m? Tram/mm mam/L; Idlezm Lam Mgr-Art CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 End: LIOYIDH- YNDI enterjl/I/ZX/AT I Address: a9 Elm Sh, (161' Telephone: 0BR- 83130] Type of Operation: Food Service 0 Complaint Retail Food 3 Investigation - - mm. gem ide WEN: Hatred on 571 inspection this day. the items marked be ?llhe violati in operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or its agentconsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result In Immediate suspension of your permit. If aggreived by this order. you have a to a west usl be submitted to order. ITEM CODE FOOD PROTECTION MANAGEMENT Owner. OCCUR Person in Articles Consumer Advisories FOOD 5- .11 No 5.103.11-12 ?f SEWAGE Shellatock ID Records and Waste Water PLUMBING 5201/02.? FOOD PROTECTION. TIME 8- TEMP. CONTROLS 5-203.? Hot and Cold Destructioanecords Retained Maintain Product Provided TOILET AND HANDWASHING FACILITIES Number. Acoea'sibie oils! Enclosed Doors Futures Hand REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION Reuse of or Foods N0 Cross INSECT. ANIMAL CONTROL oI Food 5 Bare Hands Use Utenoiie Properly Stored 111/.11 Animals. Outer PHYSICAL FACILITIES with Infections Reettictedexciuded .12 Hand of Contamination of Hands 2-401 .11-.12 Practices 2404.11 2402.11 OPERATIONS AND UTENSILS momma? . Labeled Contact Surfaces: Designed. Maintained. 7-201.11 Contact Surfaces: Designed. 5203.13 2403.11 5 4-501 .1 11.15 Facilities: Designed. Maintained. 6202.111? 12 44102031 1 of 4.30112 Sink 4.903.11 Clean ?5 POPULATIONS 4 Kit Provided to Test 4-202.? $202.16 .11 Rinse oi violated provisions related to Ioodhorne Illness .112!114 Clottm: 11 CITY OF WOBURN BOARD OF HEALTH Woburn Clty Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 mm? LmscoH EJWHJ 5mm] ??23413 Address 8L0 gwf?l, Item No. In the space below deecrlbe all vlolellone checked on front page. m, on Wm?a Wag)? (59mm r) Blaa OIL mm .5?er 0mm; 2? a {Hm/121mg; 0L a/Lm ms .0)?ng 0L my) Gum, mm- 0mm) ?/zm Err) ac ?mBlalers?wg apnm alm?s 0L .- ?r (Pm Clo Fl?dl?s malls (?lm/?ls Cl?/l?g Mpg)?, 0L ml?) cum 810ml) 5+ (?mm ML 0L OllWAdfcImy 43))le ?u Wm use 0K ?4 {16:03-5ka 0c, Mum cooler?a?aF CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 Elana/How Miran: (3:45? Elm 677?? (21? ?33516: Telephone: Ci?; 1" 25;: gfegvtlaggatlon: .Cl (F30Ilowl tllri?at Owner Among}: .. Retail Food CI in?gt?tgation orary do Other day. the items marked Moduli? operation or facilities which must . when signedby a Board of Health (BOH) member or Its agentoonsitiutes an order of the BOH to Correct violations. Failure to comply with this notice may result In immediate suspension of your permit. If aggrelved by this order. you Your submitted to the EIOH 1 th 0000K CODE FOOD PROTECTION MANAGEMENT Surfaces Clean Person In Knowiedgable Consumer Advisories FOOD 590.004 NB 5401-1 310?? 0 swan-.12 500004 3202.18 3203.12 3-002.? Food 3-201 11 PLUMB NG FOOD PROTECTION. TIME s. TEMP. CONTROLS 5201/031 ANO HANOWASHING Number. Hot and Cold Location. Restricted Parasite Deatmctioaneoorda Retained Facilities to Maintain Product Provided REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION No House of PHF's or Unwrapped Clean cm? INSECT. FIODENT. ANIMAL CONTROL at No Bare Hands Use Utensils Properly Stored 6-501 111/.1 AnirnaIS. tor Sell-Service Unit PHYSICAL PERSONNEL Personnel Infections Hand Prevention of Contamination of Hands Good Practices Room Clean OPERATIONS EQUIPMENT AND UTENSILS Food Contact Surfaces: Designed, Maintained. 7 .11 6-501.113I.114 No Non-Food Contact Surfaces: Designed. 5203.13 Sink 2-103.? 8 Unauthorized Personnel 4-501.1tl.15 Facilities: Designed. Maintained. 6-202.111i.112 Quarters 11 and of Salted Linens 4401.12 Sink 4-9011 1 01 Linen. Clean . Articles HIGHLY SUSCEPTIBLE POPULATIONs $302.14 eat Kit Provided to m1 2 Soaked .11 .110 Water oi violated provisions related to foodbome Illness 4-501. Sanitizect 3604.14 $202.11 $202.16 Contact Scheduled Date In CITY OF WOBURN BOARD OF HEALTH Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 wumm "m ?1th Blimp/5111121 1 Wm/ 5h MOI Add? 3111 Elm 617/6621? liemNo. mm Page_Lof_L in the space below describe all violations checked on front page. 6? (1011 11/111 {(117 1" 511 (91171011 7911921103611: OIL Cd?mlun 91?11?11~ r1! 10113311 0L +1111 51m 511,- 11:17; 0161951311) 11111311711118 61L 1111:1111: 114111456111 8121111 In 191314511111, 11511 (IL S'mlL [1/1111] {Wan \1 (1111/111qu OIL, ?111 (manueng 1131151311113 0113111113 0L 11111151111?!an CL. 011 191m. mam 011111111 ~11mn (in: mm? Cl. N1 10 11% 11:13 me $111111. pwzz?rn- 0L ml ll? ?Ddrr?LlojT 0L 1 0114113119 1.1.319 1111513ng ma?a/014 (X, 3114) mm (er?ancr In 111111, 1/ng 1111111 [(112111 11:1 no (11111 Irma/r CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 VA amnion; Lima)! Mil/ff? $46 LIIXIMIZYI Purpose: 8/ 3 3 Routine 43] - c5119? Type of Operation: Follow Up Food Service El Complalnt ?(213?er Retail Food 0 Investigation Parsontn Emerge LPICJ bm?r?yi:odl Other Oj?gjgl Order for QO'Ireotlon: Based on an inspection this day. the items marinade operation or Iacilities which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or its agentconsitiutes an order of the BOH to correct violations. Failure to comply with notice may result In immediate suspension of your permit. If aggreived by this orderthe above address Of ITEM CODE FOOD PROTECTION MANAGEMENT 23 13 24 Person In . 25 $904.11 Consumer Advisodes 26 FOOD 590.004 NE .11 3401.11 NO 5-103.11-.12 590.004 of 3-20z1a Shellstock ID a?203.12_ Tags a. Records and 3602.11 Food til-201.11 Sate PLUMBING FOOD PROTECTION. TIME 8. TEMP. CONTROLS AND HANDWASHING FACILITIES . 11 . Hot and Cold 11 Location. Accessibse Parasite Dean'uctloruiRecorda Retained .11-.12 Fixtures Food 6-301.11-D2.11 Hand REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION 5501.13.17 No Reuse of or 5501.116 5501.111I.115 a. INSECT. ROOENT. ANIMAL CONTROL In Use Utenclle ProperIy Stored 6-501.1W.115 PHYSICAL FACILITIES PERSONNEL Personnel with Residual/Excluded Hand Prevention oi Contamination of Hands 1- Good Practices and Vented .11 Clean HaIr Restraints 2402.11 Hair Restraints OTHER OPERATIONS EQUIPMENT AND UTENSILS Food Contact Surfaces: Designed. Maintained. Inemlled . No i9202.11 Non-Food Contact Surfaces: Designed. Installed . Unauthorized Personnel Diehweshing Facilities: Designed. Maintained. Quarters oi Soileo 44301.12 Three Sink oI Clean ?20? ?5 HIGHLY SUSCEPTIBLE POPULATIONS 4-302.? 44503.12 11 and Fem! 4-501.1B-.1 Number of violated provisions related to loodbome Illness Sanl?red wlcma rnleui or ate: Interventions. Home 14 Use Violations $202.18 4,501,111.15 Date oi CITY OF WOBURN BOARD OF HEALTH Woburn Clty Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 "m Been/cs 9W9, mo Wei/W71 ?m Lax/Mm (?r/cf Page?Lof_L In the space belch describe all violations checked on mm page. Item No. _011_ (I, may) Sam 7mm Wl?d/J Maj/m 0L 0L anf} Quag? a??zgo?mg magma? 0L 6) {Joa??me?l am Di, Km? 0L 0L arm/17a 4?me ?rm 0/7ng 0L . . 0L 011?; Mm 195259561? 01, M: '0an am: #529, (it MWM 61mm Cz/rmgiCITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 El?mm MWI mm her/s Fit-lab fomarm Wee-r 5/ Telephone: 88"! at Type of Operation: ml: Aram?gi? Em .VWIEC 65 3 3 Pore-on In Charge Wary FEM Other Ci Based on an Inspection this day. the items market! he denll I violations in operation or facilities which must be corrected by the date speci?ed below. This report, when signedby a Board of Health (BOH) member or its agentconsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result In Immediate suspension of your If aggrelved by this order. you ITEM CODE 1 4.9031 11 In 11 Consumer FOOD 590.004NB 5- .11 3401.11 540311-12 59000:? $202.18 $203.12 3-602.? . 1 Food Instructions FOOD PROTECTION. TIME 81 TEMP. CONTROLS FOOD PROTECTION MANAGEMENT PLUMBING 520110211 Installed and Maintained 5403.14 Slpl'muge, TOILET AND HANDWASHING FACILITIES convenient Hot and Cold Locaiim. Restricted Use. Accessible Parasite Daotrm?donI'Fiecords Retained Food Thermometers Thewed FOOD PROTECTION FROM CONTAMINATION REFUSE DISPOSAL .1 . .116 Clean S-SO1.111I.115 Oulslda RODENT. ANIMAL CONTROL Reuse PHF's or Foods In Use Utensils Properly Stored . 19f PHYSICAL FACILITIES PERSONNEL Personnel with Infections Hand Prevention oi Contamination 01 Good Practices and Clean Hair Restraints Vented Hair Restraints 4-2021 1 4-202.16 4-501.11l.15 $301.12 .112f.1 15 EQUIPMENT AND UTENSILS Food Contact Surtaces: Designed. Maintained, Installed Non-Food Contact Surfaces: Designed. Mailed Dishwashhg Facilities: Designed. Maintained. Sink Drainboards Pressure Test Sanitizer Sanitized wlChemimi or 180 Water 7-101.11102.11 7-201.? .11 . 14 13 2403.11 5202.111L112 4-802103.11 4-903.? 45 3801.11 OTHER Pres-niece: Sink No Unauthorized and oI HIGHLY SUSCEPTIBLE POPULATIONS and Food FIB Number of violated provisions related to ioodhome illness CITY OF WOBUHN BOARD OF HEALTH Woburn Clty Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 Emmi-ark] Malia/1e Address 6405 L?xmqu swag? Page_Lol_?_ Item No. In the space below d?e?eorlbe all vlolatlone checked on front page. am 0L army 139/ fro/1 IL (DIM @(Mimm mm mm: 175251720 Cl M0 Wm OI, ?mp (meme-01mm a am r?mw (3L near mm ?ne?Hgo gin/M) {Ia/Jermm/s or. :9 doorf?daa (JEEP 0L 6 (jar +?rr?ierKDIpF 0L Own/in 0AM (?Iran 0 (MI Imm< DI. 600 Im ?323 \ijpmh?? OI, xi)- :F?i?r?il 0L item/301% Marianne Him 0L 3mm um? (7mm? 69va (I, Oml?r/?) 33 0L {Lu CM?nmeIuS?lu?nsils hm! pa?l??fd- d, malls ?l?nm macm ?ame? (SI ?T?mawa- alarm (1mm mm- FM Oui?lflr Klf?'hcm .CUJ (7th ff/q/[c- CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn. MA 01801 781 -897-5920 Reeves Elam/mm Adams: Purpose: Routine 9/ 410)} ?q a? U88 Lia Type of Operation: Follow Up Cl AV Food Service 0 Complaint Omen (3er Retail Food 0 Investigation CI orary Food Other Person In Gums (PIC) Th 1" Ol??aLOLd??QLQQ?eqtjg?: Based on an inspection this day. the items marked be ow danII violations in operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or its agentconsi?utes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. If aggreived by this order. you Your must be I ITEM CODE CODE FOOD PROTECTION MANAGEMENT Person Consumer Advisories FOOD 004 NE Source 5-1 01.11 1 .11 No 11-.12 590.004J of 18 Sheilsiock to $203.12 Fleoords 3-6112.? Food 3-201.? Food PLUMBING FOOD PROTECTION. TIME TEMP. CONTROLS TOILET AND HANDWASHING FACILITIES 11 Hot and Gold 11 Parasite Deat-mtionIFiecorda Retained 4 1- Malntaln Product 660111-12 Good Provided 6-301.11-02.11 Hand Cleanser Hand REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION 13- 17 14 No Reuse of PHF's or Foods 5501.116 1 5501.111L115 ?1 cm? mummum INSECT, RODENT. ANIMAL CONTROL 3-301.? 0 Food In Use Utenciis Property Stored Insects. Rodents. Animals. Outer 4?30?- 1 PHYSICAL FACILITIES PERSONNEL Personnel with Hand Prevention of Contamination of Hands Good Practices Room OTHER OPERATIONS EQUIPMENT AND UTENSILS Items: #20211 Food Contact Surfaces: Designed. Maintained. Non-Food Contact Surfaces: Designed. 4-202.1B Installed 4.501 .11/.15 Dishwashing Fac?itles: Designed. Maintained. of $301.12 Sink of Clean Amcles 1 ?1 HIGHLY SUSCEPTIBLE POPULATIONS 4-302.? Isl KII Pmldad IO Teal $603.12 Soaked 45 .11 Rinse Water Number of violated provisions related to tandoori-Ia Ilrnass .112" Items 3-304.? Cloths: 11 al Violations CITY OF WOBUHN BOARD OF HEALTH Woburn Clty Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 Elrmm??/I 8010613 Lm kai- Page?LolJ_ rlbo all vlolatlons checked on front page. Item No. lnthospaoebolow 0L 3mm UMW- 0L emolauwes (mm Cm 0L an m?tm nbmm? - :Hmm) 0L Hand Manama: HQ M22259 ?41691 Farm a 0L Dru SEMQZ mm mute/h Wu 0550ch m\ Mex @594 0L FIDOVS WMS (Elli/103 Clem If) and mom,? OL Her (3L djshuYJCh/m 614M- 0L mm lecfj?? uar?F vita/9 0L ?TF/?sh (Mja? {11mm 10%de - (3L QM) Elm amen at In mm! 1?er EL 0111) mmo- {mm dom? mom? CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 ?oat/r5 gm] edited i103 Address: {gag Lat/W711 .TRfI/ipfj? Purpose: Telephme:v a5} 1?3an Time of Operation: Food Service Retail Food OwnLlAf/J Person In Charge (PIC) porary Food Enos I lion: Based on an inspection this day, [he items marked Routine Follow Up Complaint CI investigation Other nalow identity the violations in operation or facilities which must be corrected by the date specified below. This report, when signedby a Board of Health (BOH) member or its agentconsitiutas an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. if aggreived by this order, you have to a 590.003 DIE 2?3131 . 1 2 2401.11212 1 4-2021 1 11-20216 4601.11L15 44301.12 4-2041 1 4602.14 1 Your LI FOOD PROTECTION MANAGEMENT Il'l . FOOD No ITEM 24 FOOD PROTECTION. TIME TEMP. CONTROLS and Destruction/Records Retained FOOD PROTECTION FROM CONTAMINATION ND Reuse or Foods. No Use Utencils PrOperiy Stored PERSONNEL Personnel with Infections . Hand Prevention of Contamination Practices Hair Restraints EQUIPMENT AND UTENSILS Contact Surfaces: Designed, Maintained. Contact Surfaces: Designed. Facilities: Designed. Maintained, Drainboarde wrChemIcal or 1 Cloths: Water 11 1 $202.14 .11- 12 540111-0211 5501.13.17 5-501.116 .111L115 13 1 111/.11 11 11 45 3-301.? within 10 da oi this or Contact Surfaces Clean Utensils Service Articles Service Article: Stored WATER PLUMBING and TOILET AND HANDWASHING FACILITIES REFUSE DISPOSAL Vermin Area Clean INSECT. RODENT. ANIMAL CONTROL Insects. PHYSICAL FACILITIES Good Clean OPERATIONS Unens of HIGHLY SUSCEPTIBLE POPULATIONS oi violated provisions related lo toodhome illness factors and I Critical Vi 1 CITY OF WOBURN BOARD OF HEAL11-1 Woburn Otty Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 8461163 511?:ng 4/019 15/" Add? 6WD (?(31th Item No. In the space ?Manama all violations cheated on front page(hp (Mmajiegn 4 H) mm ng?r 0L 52?day 71616! a 035?]? 0L 8Jdaxfr/raar 015) (Jimmie-wire: ?0?17 0L hm (max 517mm nu 47m 10mm Idem 0L (?x?mm Wren/L 0L Elma walls Calms ?le/m =4 0m rem/k 13!, mm, beam xgqx??J ?r9629y?b?F' LL 8496241100me 010% mama? CITY OF WOBURN FOOD ESTABLISHMENT REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897?5920 I i lien $1700??er Elam/72727,! . {hw/ 015.35?? Address' (190 67fo?) 6717/1" 1" 7" ?We: Di? Talent-lune: ail/J 963) 2,1 m? TYPO 01? Operation: 23:13:6th Cl Dimer: . a Eigg?grtion a Pomonin Pic gg?ggd Other 0 Q?iclal Order for Dermot on: Based on an inspection this day. the items marked as he violations in operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or its agentconsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. If aggreived by this order, you . Your request must lie in writing and submitted to the BOH er the above address within 10 days at receipt of this order. have a right to a. heerln ITEM cone ITEM CODE FOOD PROTECTION MANAGEMENT 23 Non-Food Cortisol Surfaces Clean 24 4-903.11f04.11 Clean Equipment and Utensils Properly Stored 0 590.003 NB Person In Charge (PIC). Knowiedgable 25 4-904.? Single Service Articles Stored, thensed $608.11 Consumer Advisories 26 44102.13 No Fla-Use of Single Service Articles FOOD WATER 0 590.004 Are Approved Source 2., 5.101.11 Approved Source 0 3-101.? No Spoilage 5103.11.12 Hot Cold Running Water. Under Pressure 01 0 590.034 Labettng di Ingredients. Recalled. Allergen 3-2021 3 Shellstock lD SEWAGE 0 3203.12 Tags 81 Records 23 I 5402.13 Sewer and Waste Weller Disposal 3-802? Food Labeling 02 3-201 .11 Safe Food Handling Instructions PLUMBING 29 5201/0211 installed and Maintained FOOD PROTECTION. TIME 8. TEMP. CONTROLS 30 5203.? Cross Conn ectlon.Back SIphonsge.BackFIow 3?40?""13 9min" HANDWASHING FACILITIES 0 3403.11 Reheating 03 $501.14 Cooling 31 5.203.11 Number. Convenient $501.16 Hot and Cold Holding 0 5.201005.? Location. Restricted Use. Accessible 3402.1I-.12 Parasite DeetructiorVRecorde Retained 6-202.14 Toilet Enclosed. Sell-Closing Doors 04 4-301.? Facilities to Maintain Product Tempertures 32 6-501.11-.12 Fixtures Clean. Good Repair 05 11-30212 Food Thermometers Provided 030111-0211 Cleanser, Hand Drying, Signage 06 $501.13 Properly Thamd REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION 33 5601.13.17 Adequate Number, Covered.VennIn Proot 0? 0 3606.14 No Reuse oi or Unwrapgd Foods 5.501.115 Clean 08 34305-0111 Food Protection: 34 55011111115 Outside Storage Area Clean 0 34302.11 Separation.Segregetion. No Cross Contamination INSECT. RODENT. ANIMAL CONTROL 09 34301.11 0 Han?dung ot Food 0 Ice Mininized. No Bare Hands 10 3404.12 In Use Property Stored 35 FCI 6-501.111f.115 Insects. Rodenm. Animals. Outer Oiltanil'ltlEi 11-30211 Food Dispensing Provided tor Seli-Senrice Unit PHYSICAL FACILITIES PERSONNEL 36 5-201 .11 Floors. Constructed. Clean. Good Repair 11 590,003 DIE Personnel with Iniectlone ReetrictedIExciuded 37 3-201 .11 Cairng. Attached Equip.. Clean 24501.12 Proper. Adequate Hand Washing 38 8-303.? Adequate 12 0 590004 Prevention of Contamination of Hands 3-202.? Fixtures Shielded 2401.11-.12 Good Hygenic Practices 39 6-304.? Rooms and Equipment Vented 13 2-304.? Clean CIothea. Heir Restraints 40 6-305.? Dressing Room Clean 2402*? OTHER OPERATIONS AND UTENSILS 41 0 7.101111%? Toxic Items: Original Container. Labeled 14 4402.11 Food Contact Shirtaces: Designed. Maintained. 7-201.11 Stored Separately Installed 66011131114 Premises: Maintained. No Unnecessary Articles 15 $202.16 Non-Food Contact Surfaces: Designed. 42 5203.13 Mop Sink Maintained. Installed 2403.11 No Unauthorized Personnel 4,501.11? 5 Dishwashhg Facilities: Designed. Maintained. 43 6-202.111I.112 Separate Living/Sleeping Quarters 16 installed. Operated 44 4602/0311 Cleaning and Storage of Suited Linens 4401.12 Three Compartment Sink Provided, Drainboards 4-903.? Storage ot Linen. Clean Articles 4-302.? Test Kit Provided to Test Sanitizer is 4-6011: Pro-Flushed. Scraped. Soaked 45 3.30141 Food Restrictions and Food Preparation 19 Waih. Rinse Water Clean. Progar Temperature Number of violated provisions related to Ioodbome Illness 20 Properly Sanitized wIChemicel Or 130 Water testers and interventions. {Red llama M.01 03.07.0191 21 3304.14 Clean. Senitized. Use Restricted 22 4-602.? Other Critical violations Food 0011th Surfaces GI Print: WW3 m. We? ere/Liva- tie/i=5 PiC'a HEM Print: Scheduled Data at? Date a Comp?ence inspection-i . A ms 3 Result CITY OF WOBUFIN BOARD OF HEALTH Woburn City Hall, 10 Common Street, Wobum, MA 01801 781 $976920 WMMW Shammuc gamma} School maladl? 61mm 517%? In the space below describe all vlolatlont checked on tram page. Mm (?17?th 0! 45m; Kym?4577? or. meg [yr/p mm or, mm (DJ (IL 16p (Wax; Gleam ?rm and remix 4ll?) (700k? @1075 - m5 0km 010 391/? In $39135 Man) 01: Jam ham Lam?: aba- OL MI ma LII/ram (Q Imm?jyn) Wm 0K, alow? gonna AIL 16. than: ?lf?n e? Ina/m rank 1 Owlgg?) 410 OIL Ind IArame/i mm mm (5mm: 0+ - CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 5r mat Outta/Iii'm Address: (M stecl? Telahma: 834? . find WHEN LCIUIS (Ethan: Based on an inspection this day. the items marked as Purpose: Routine Type of Operation: Follow Up Food Service Complaint Retail Food Cl Investigation Temporary Food CI Other mmlma violatig In operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or Its agentoonsitiutes an order or the BOH to correct violations. Failure to comply with this notice may result In Immediate suspension of your permit If aggretved by this order you have a to a and submitted to the ITEM FOOD PROTECTION MANAGEMENT 590.003 NB Person In 3-603.? Advisorlas FOOD 590.004 NB 3401.11 No 590.004J of 3202.18 Shallslodt ID 12 3 Records 1 Food FOOD PROTECTION. TIME TEMP. CONTROLS and Cold DestructionrRecords Retained Product Provided FOOD PROTECTION FROM CONTAMINATION of or Foods Protection: No Cross Contamination No Bare Hands Use Utensils Properly Stored for Sell-Seance Unit with Infections 24301.12 or Contamination of Hands 2401.11-12 Practices 2-30? 1 2-402 11 EQUIPMENT AND UTENSILS #202.? Contact Surfaces: Designed. Maintained. $202.16 Contact Surfaces: Designed. 4601.1".15 Facilities: Designed. Maintained. .12 Sink 5-101.? 0 swan-.12 and PLUMBING Installed and Maintained AND HANDWASHING FACILITIES Location. Hamtad U50. REFUSE DISPOSAL Area Clean INSECT. RODENT. ANIMAL CONTROL AnimaB. PHYSICAL FACILITIES and Room Clean OPERATIONS T-101.11ID2.11 . Labeled 7-201.1 1 6-501 .113? 14 No 5203.13 Sink 2-1031 1 Unauthorized Personnel 6-2021 1 1L1 12 Quarters 11 and or Soiled lJnens 11 of Clean SUSCEPTIBLE POPULATIONS We and Food of violated provisions related to loodborne Illness DUDUIK CITY OF BOARD OF HEALTH Woburn Clty Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 mum-m Elmm WI Wm Address Cw Green Straw Page_ _ol_L Item No. In the space below all vlolatlons checked on front page. mm mm I/ylu 0L mm mm {UmSal/vim wank I5 8m 0L UZLH- [a (lama; 512 F- Elm??m (Mme OIL Imu? In 2F- FIDLYS Clam: OIL FIOOYR Walls Oglinm amd min/m . 0L mm mm [0042 17m ?u ?HQ/bin 193/277 nix/?15m 0L kH-men 440+ moves down 0L Nd?h?t) 15p ange? HUI If OIL. All 5H Fl 0L (Lu, In 1,451: acmm mfg/n 314mm (3L DIM (KIDS mm.- in: IL H?ms SWIM) OIL (1'11 ?hm/I?lrm NSF WI. (imam/i OIL (mam/1M bd?mm m; (30 IILI ?mq nan/mm AL (?rial/fr 5(9f' CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 "WSi?rimmai: Wes/x78 Sorter Telephone: 833394 Owner. K. Person in shame (Pic: [@117 Based on an inspection this day. the items marked be ow i shill; the violations in operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board at Health (BOH) member or its agentconsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. if aggroivsd by this order. you have a to a ITEM $201.11 3-401.11-.1 11 3-501.? 16 1. 11 590.0? DIE 2-301.12 590.004 240111212 2-304.1 1 11 4-202.1 1 $202.18 4-501.11I.15 PlC?s Scheduled Date Your FOOD PROTECTION MANAGEMENT Person in Advisories FOOD No oi Shellstodt ID 8. Records FOOD PROTECTION. TTME 8- TEMP. CONTROLS Hot and Cold Parasite DestructioniRecords Retained Provided FOOD PROTECTION FROM CONTAMINATION No Reuse oi or Foods No Cross Contamination of Food 8. In Use Propeliy Stored for PERSONNEL Personnel with infections Restricted/Excluded . Hand Prevention of Contamination of Hands Good Practices Clean Hair Restraints Heir EQUIPMENT AND UTENSILS Food Contact Surfaces: Designed. Maintained. Installed Non-Food Contact Surfaces: Designed. Mahtained. Installed Dishwashing Facilities: Designed. Maintained. Sink Drainbosrds Sanitized wiChemicel or 130 Water Type of Operation: Food Service Retail Food Ts porsrv Food ITEM 24 25 45 CODE 4-6021 11?04.11 4-904.? 13 14 7~101.11f02.11 7-201.? 6-501.113I.114 5203.13 2403.11 $202.111l.112 11 4-903.? 3-801.? 0 Cl Purpose: Routine 8/ Follow Up Complaint CI Investigation 0 Other of SEWAGE PLUMBING TOILET AND HANDWASHING FACILITIES Use. Toilet Good Hand Hand REFUSE DISPOSAL INSECT. RODENT. ANIMAL CONTROL Insects. Rodents. Animals. Outer PHYSICAL FACILITIES Attached and OTHER OPERATIONS and of Salted Lhens 0! Clean . Articles HIGHLY SUSCEPTIBLE POPULATIONS Number of violated provisions related to foodborne illness risk lsctors interventions. Other Critical Print: items CITY OF WOBUHN BOARD OF HEALTH Woburn Clty Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 "m Shamrock Elfim??l?m 84nd Address Page_l_o1_L (00 6 re. SW6 cf Item No. In the space helm?r describe all vlolatlons checked on front page. 2 baa rm! label/n7 c? (L LCZH =r Him 0L 1 Acmmve 4 Mum 0L ?Huh 01mm ?anms - (Dans Che/m? 00ml mamr 01L clam?) LW ama? OL madam! bal'hvoomgr Ont ?hmcme. Man all [are (bring/d- 0L 13L Whom! ILMF CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 14.4.6 Mm VOCJL If?m??i?i?i .4 50.10ch Iasi Io: 6i ream ?Shear Mm: 37% I CI 5?;53 Li I I Purim In Charge Ownen v?amyL Law I rminon: Glaser-I on an inspection IhTs day. the items marked a Fir-pose: Routine Type of Operation: Follow Up Food Service Complaint Retail Food CI Investigation Temporary Food El Other 9 ow idgregt?te violations in operation or facilities which must be corrected by the date specified below. This report. when signedby a Board of Health (BOH) member or its agentconsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. if aggreived by this order. you I03. DIE 2-301.12 1 4-202.? 41-20216 4-501.11f.15 .12 4 Date of must FOOD PROTECTION MANAGEMENT Person In Consumer Advisories FOOD of Shailstook ID a Records Instructions FOOD PROTECTION. TIME 8. TEMP. CONTROLS Cold DestructionIRecords Retained to No Cross Contamination of 8 Ice Use Utencils Property Stored wiih infections RestrictediExciuded Hand of Contamination of Hands Restraints AND UTENSILS Contact Surfaces: Designed. Maintained. Contact Surfaces: Designed. Installed Fadiities: Designed. Maintained. Sink to Test Soaked Senilized PROTECTION FROM CONTAMINATION Reuse of or Foods fled to the EOH of this order. CODE 23 1/04.? Utensils 25 26 SEWAGE PLUMBING installed TOILET AND HANDWASHING FACILITIES oiiet Good Cleanser Hand REFUSE DISPOSAL Vermin Proof 5-501.? 1111.115 Clean . RODENT. ANIMAL CONTROL Animals. Outer PHYSICAL FACILITIES OPERATIONS 7-101.11I02.11 7-201.? 5203.13 2403.11 520211112112 .11 4?903.? HIGHLY SUSCEPTIBLE POPULATIONS .11 of violated provisions related to foudbeme illness Home I CITY OF WOBURN BOARD OF HEALTH Wobum City Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 ercu mm! ?'"Hlaslm Add? L903 Grain 8er Item No. In?uence. below describe allvlolatlonn checkodonfront page. M/mszm 8- labia/{yd 0L mm mar mm 112)}; 4+1) ,3an 7mm:? OK OM Sp? Wypoi Di. (Mr: OH 0:10:14? (3169(qu JO cm! remir OL HTML In machzO?F. 0mm OK. Ym- 1O frpaw? 02) Pram ~r {Om 01mm (31/ ?ewm?e hams aha? @130 Mu Ormg (11mm and 011 n+r=m3 0L m?ourc? 10(er mm?) ?mi-?an SYN) 0L 3101 mm Om? ?mmn?pcd [Chemlralx 0L ml Ha (?COirr ((350; 0L Sr thins: 13 91mm! mm Oppcb OIL, walla Calm/16 (?Jm?w mam rpm/r 0L mplouffi- HHS. CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 Person In Gimme i I seed on an inspect this day. the violatios 781 -897-5920 Name: I971, Data: address: *5 HWZH 0 Telehu 112?ij 623-5 (?5'35 Pip: g1 Operation: Cl Owner. it. Rate? Giddy: giggs?lg?on 00 Other the llama marked hm; 17y In operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board 01 Health (BOH) member or its agentconsltiutes an order of the BOH to correct violations. Failure to comply with this notice may result In immediate suspension of your permit. If aggretved-bythis order.-you have a to a hearinc. Your must be In writing and submitted to the BOH at the above address within 10 days oi receipt of this order. ITEM cons ITEM CODE FOOD PROTECTION MANAGEIAENT 23 W13 Non-Food Contact Surfaces Clean 24 4-90111I04.11 Clean Equipment and Utensils Properly Stored 590.003 NB Person Charge (PIC). Assigned. 25 4-904.? Single Service Articles Stored. Dispensed 3503,11 Consumer Advisories 26 #50213 No Re-Use or Single Service Articles FOOD WATER 590.004 NB Approved Source 2., 5401.11 Approved Source $401.11 No Spoilage 5.1034 1-,12 Hot a Cold Running Water. Under Pressure 01 0 590.004 Labeling of ingredients. Hecaiied. Allergen $202.18 Shelistock ID SEWAGE 0 9,203.12 Tags 8. Records 23 10 5402.13 Seller and Waste Water Disposal 3402.11 Food Labeling 02 3201.11 Sale Food Handling Instructions PLUMBING 29 5-201l02.11 Installed and Maintained FOOD PROTECTION. TIME 8. TEMP. CONTROLS 30 I: 520114 Cross Connection?aok Shm?g?'?awpmw TOILET AND HANDWASHING FACILITIES 3403.11 Reheatlng_ 03 a-so1.14 Cooling 31 ,0 5-203.11 Numb-or. Convenient 0 3501.16 Hot and Cold Holding 5.204105.? Location. Restricted Use. Accessible 3-402.11-.12 Parasite Destruction/Records Retained 5-20214 Tom amused. Self-Closing Doors 04 4-301 .11 Factilles to Maintain Product Tampertures 32 Fbrturee Clean. Good Repair 05 4-302.12 Food 111ennometare Provided 530111-0211 Hand Cleanser. Hand Drying, Signage 06 3501.13 Progeny Thasved REFUSE DISPOSAL FOOD PROTECTION FROM CONT lN AM A 33 550113-17 Maggie Number. Coveredg?rmin Proof 0? 3-306.? No Reuse oi PHF's or Unwrapped Foods 5501.116 Clean 08 3-305-0111 Food Protection: 34 5501.111L115 Outside Storage Area Clean 3-302.? Separation.Segregatlon. No Cross Contamination INSECT. RODENT. ANIMAL CONTROL 09 $301.11 Handing oi Food is loo Minimized, No Bare Hands 10 $304.12 In Use Utonci'ls Property Stored 35 [pi 0501110115 Insects. Rodents. animate. Ouwr Ope?lrloa 4.302.11 Food Dispensing Utencils Provided tor Self-Service Unit PHYSICAL FACILITIES PERSONNEL 36 8-201.? Floors. Constructed. Clean. Good Repair 11 590.003 DIE Personnel with lnIectionB Restricted/Excluded 37 6-201.? Walg. Ceiling. Attached Equip. Clean 0 24301.12 Proper. Adsgugle Hand Washing 38 6003.1 1 Adequate Ughting 12 590.004 Prevention oi Contamination 01' Hands 8-2011 1 Fixtures Shielded 2401.11-.12 Good Hygenic Practices 39 8-304.? Rooms and Equipment Vented 13 2-304.11 Clean Clothes. Hair Restrehts 40 $305.11 Dressing Room Clean 2?403? Hi" OTHER OPERATIONS AND ILS MENT UTENS 41 Toxic lime: Original Container. Labeled Food Contact Surfaces: Designed. Maintained. 7-201.1 i Stored 5813813100! 14 $202.11 . . . Installed 8-501 .1 131.114 Premises: No Unnecessary Moles 15 L202 16 Non-Food Contact Suriaces: Designed. 42 520313 Mop Sink Maintained. Installed 2-1 03.11 No Unauthorized 16 Installed. Operated 44 #602103.? Cleaning and Storage of Sol'lad Linens $301.12 Three Compartment Sink Provided. Dratnboartb 4-903.? Storage at L'nan.01oan Eoulp.. SingServ. Articles 17 4-204.1121.115 Equipment Thermometers. Pressure Gauge HIGHLY SUSCEPTIBL POPULATIONS $302.1 4 Test Kit Provided to Test Sanitizer 18 $603.12 Pro-FlushedJ Scraped. Soaked 45 I 3801.11 Fund ?Writ-??ns and 19 4-sot.1a-.11o Wash. Rinse Water Clean. Proper Temperature Number of violated provisions related to Ioodbotne Illness 20 #501,112114 Property Sanitized w/Chemtcal or 160 Water risk factors and inlmaritlorts. [Had 4 21 3-304.? Wiping Cloths: Clean. Sanitized. Use Restricted 22 4-602. 11 Food Contact Su 0 Other Criticai 'Il'tulalio no a Si nalu - Print/?g 51?? WW I P1051 Signature: Print: 7m (- Scheduled Date In Date 2 Compliance irtspacl._I__ CITY OF WOBURN BOARD OF HEALTH Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 Establishment Name St Chm/(L3 5Ch00? 5 Mtlr+bz ?red: PageJ?ofJ? Item No. In theMr Ipcce below describe all violations checked on front page. (355,, Ll 5?4116 (31L $me 101?)! ?rd @l YM- (EM/3mm (ll. HMJF a 19m doll/d. ?nd dam, 4m ama?l' Mlg? (LU loll/0mm W603 53W Tmml?l/l (?lmy) ?n mm?qs gy? mm? ()th (1"an (Mop Ol/lms Ole?n? In am (@19an CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 .c Personrn Chang-HP 1 . i2! Wren Based on anTGSEec?gir this day. the Items marked Other TemEorary Food ?x the violations In operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or its an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. If aggrelved by this order. you at the above address 10 a CODE have a 14 [ti-30507.11 3-302.? 3-301.? $304.12 4-302.? 4-2011 1 4-202.16 4-501.11l.15 .12 FOOD PROTECTION MANAGEMENT Person In Asst Consumer FOOD Source at Sheliatock ID Records FOOD PROTECTION. TIME 8. TEMP. CONTROLS FOOD PROTECTION FROM CONTAMINATION No Reuse of PHF's or Foods No Use Utencils Properly Stored PERSONNEL with II'rleotJ-orls MMWExduded Hand of Contamination of Hands Preclinae Hair Restrainls Restraints EQUIPMENT AND UTENSILS Contact Surfaces: Designed. Maintained. Contact Surfaces: DesignedI Facilities: Deslmed. Maintained. Provided. Dralnboards Pressure Sanilired wiChemieal. or 180 t$602.13 4-904.? 13 14 5-501 13-.17 5501.116 5501.111L115 l.111i.12403.Non-Food Contact Suriaces Clean Clean Service Articles Re?Uee oi WATER Hot 8; SEWAGE Sewer and Waste PLUMBING Cross ConnectionBac-k AND HANDWASHING FACILITIES Convenient REFUSE DISPOSAL Area and Utensils Service Under Pressure INSECT, RODENT. ANIMAL CONTROL Anti-nets. PHYSICAL FACILITIES Attached Shielded OPERATIONS Items: of at Container. Labeled HIGHLY SUSCEPTIBLE POPULATIONS and of violated provisions related to loodborne Critical 1 781 -397-5920 5i: Char 1c: Smooi (42 I H8 Address: 8 Tg?j? Telephone: 381% 55? Itype of Operation: Owner: WWII mngion CITY OF WOBURN BOARD OF HEALTH Woburn City Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 Establlohmon?tName CWNICB S?th\ mb?ll?ld?) Add? 8 mqr?t: SW6: ck Item No. Inhosfm below describe simulations checked on front page. (JL 79490; ,1 mm mm? Wth/ 01mm 0- rr) eravx/ @xmpm?n 0L Spy/Mfr): (Erma ?de? 4 16-4123 {it :Fnr'lae (0 4012? . 6L (Mil/{ii CD mil/d Ono/W Hm: {it Hy?fhm momma: aim/r5 ?prm 73m MY (Wm #mi om r7749 Plea/5 OIL Wv?m [mama Mamie/~? CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 . Eula: ta?. 0313'- Address: 8 mm M059: Routine 9/ Term; 3'6 Q55 Ll I085 Time of Operation: a Follow Up 0 Food Service Complaint CI Omen VIC. Retail Food 0 Investigation Cl Temporary Food Other CI Person In em on W: Based on an inane-53bit this day, the items marked be or Man i he violations In operation or facilities which must be corrected by the date specified below. This report. when signedby a Board of Health (BOH) member or Its an order of the BOH to correct violations. Failure to comply with this notice may result in immediate scepenslon of your permit. if aggreived by this order. you have to the BOH at CODE FOOD PROTECTION MANAGEMENT ?22 Person in 25 Consumer Advisories 23 FOOD 590101 NE Source 5-101 .11 3401.11 No 5-103.11-.12 590.004 of 3202.18 Shellstock ID SEWAGE 3403.12 a Records and sage-? $201.11 Sale Food Instructions PLUMBING 5-201f0211 and Maintained FOOD PROTECTION. TIME TEMP. CONTROLS Cross 3401.12.33 Tmm'a?m? TOILET AND HANDWASHING FACILITIES Number. Convenient 1 Hot and Cold Restricted Use. Accessible 11- 1 Parasite Destructioanecords Retained .11 Product 1 -.12 1 630111-021 1 Thewed REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION 17 No Reuse oi PHF's or 11 .T 5501.111]. No Cross Contamination of Food 3. Hands Use Utensils Properly Stored (I 6-501.111I.115 INSECT, RODENT. ANIMAL CONTROL PHYSICAL FACILITIES PERSONNEL Personnel with Infections 1 Hand Prevention oi Contamination of Hands 11- 1 Good Practices and Vented 2-304.? 1 OPERATIONS EQUIPMENT AND UTENSILS 7-101. 11 Contact Surfaces: Designed. Maintained. 7 66011131114 No Contact Surfaces: Designed. 13 Sink 2-1 03.11 Unauthorized Personnel 4-501 .11/.15 Facilities: Designed. Maintained. 11 12 Quarters 11 end 0! Solled Linens 4601.12 .11 of Clean .Articiee 4'20? 1 5 HIGHLY SUSCEPTIBLE POPULATIONS $302.14 Teet Sanitizer $603.12 11 Rinse Water er oi violated provisions related to foodbome illness +?02.11 $202.16 .112114 Sanitized WIOhemel or 180 r! and i Clothe: Pm . 146114 47 Scheduled Date CITY OF WOBUFIN BOARD OF HEAL11-I Wobum Clty Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 Establishmen?tName 8+ Charla, SCHOCN Address 5 mq Page_L_o1_/_ Item No. In the since below describe all vlolatlons ducked on from page. 0K EJZYM 51/011 135/ nj' 0 (gran/1m 0L M: LHIFC) {Lag r' OIL (mm J?r/?awf? 53?? mm 14%.ng 424m; oz, g?day?m?q? 0L mm 0L 7?29 (361 0L 292w; ?w j/ (1mm Wm WM 474/ AL M?g?w/ a mum/3?: rim] CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801. 781 -897-5920 not. (harm 50an sic; ?qt/MT, LH?Vf?fj' Purpose: . Routine a? .- Me of Operation: Follow Up CI Food Service Complaint El Owner. 747?? mil)? It'? Fietail Food Investigation 0 Tem era Fodo El Person In Charge (PIC) I 60. Cam Other W: Based on an inspectlo day. the Items marked vlol ns In operation or facilities which must be corrected by the date speci?ed below This repo. when signedby a Board of Health (BOH) member or Its agentoonsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result In Immediate suspension of your permit. If aggre?rved by this orderthis ITEM CODE ITEM CODE FOOD PROTECTION MANAGEMENT 24 and Person In 25 Consumer Advisories Re-Uee of Service Articles FOOD WATER 3101.11 MD of SMIISIOCR ID 32(312 SI Records 11 Food S-201.11F Safe Food Instructions PLUMBING FOOD PROTECTION. TIME TEMP. CONTROLS mnmhed TOILET AND HANDWASHING FACILITIES Col: 5-2031 1 . Hot and Cold 5204:0541 Deetruction?Records Retained 5-20214 Toilet ProductT e-501.11-.12 thturee Good Food 660111-0211 Hand REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION No Home of PH F's or Footie cm? INSECT. RODENT. ANIMAL CONTROL of 8: Ice No Bare Hands In Use Utencile Properly Stored Inaede. Rodents. Animals. Pm PHYSICAL FACILITIES PERSONNEL Personnel with lnIeGlIona Restricted/Excluded Attached Good Prevention of Contamination of Hands - Fixtures Good Fractions Rooms and OTHER OPERATIONS EQUIPMENT AND UTENSILS 4,202.11 Food Contact Surfaces: Designed. Maintained. $202.16 Non-Food Contact Surfaces: Designed. Diehwaehing Facilities: Designed. Maintained. Linens $301.12 . Articles 1; ?5 HIGHLY SUSCEPTIBLE POPULATIONS $603.12 ?5 3-801.? 4-501.18-.110 Rinse Water Number of violated provisions related to toodborne llinaee 4-5011121114 rlak teeters and interventions. Items 3-304.? Cloths: 4-802.? Critical Violations Scheduled Date CITY OF WOBURN BOARD OF HEALTH Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 8&me Datef" ho} Address 5 Pago_l_ot_i. Itam No. In the space below doocdbo all vlolatlom checked on from page. . ardmf-Hvdaz. 4/ 04 ?(Egg sag/g: @1234: dbc'?ay' 21:; Plaza/'6? to em: (Hilly/1?13 {1/6017 ?4 ?Yd rem/r- 01/. CL a: 5422111 d/x?MC 1 Ola/In lad/11:29AM (Adlai/D foam 0L . . CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn. MA 01801 Owner: Frill/0 Retail Food Person In Chi: a FIG Qliialai Based on an napsotion this day. the items marked beo n' Food Service the violati Complaint Investigation Other 0000K Cl Era/in operation or facilities which must be corrected by the date speci?ed below. This report. when slgnedby a Board of Health (BOH) member or its agentoonsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension oi your permit. it aggreived by this order, you 781 -897-5920 more iiltr: Eicmian 1 80% Dole: 55} i=7? i Address: i3? Liwrf.t Sunrise: Telephone: 317%] - Q5 Me of Operation: have a right to a hearin . Your request must be In writinq and submitted to the BOH at the above address within 10 clove of recain of this order. ITEM I cone ITEM coca FOOD PROTECHON MANAGEMENT 23 4-6123?! Non-Food Contact Surfaces Clean 24 4-903.11m4.11 Clean Equipment and Utensils Property Stored cl 590.003 Ara Person in Charge (PIC). mloned. Knowladeable 25 4.90411 Single Senltce Articles Stored. Dispensed sees." Consumer Advisories 26 0.50213 No Re-Uae oi Single Service Articles FOOD WATER 6 590.004 NB Apgavad Source 27 I 5-101 .11 Approved Source 0 3401.11 No Spoilage I 5.11131 1-.12 Hot a Cold Running Water. Under Pressure 01 590.004 Labeling of Ingedlents. Recalled. Allergen 0 3202.18 Shellatock lD SEWAGE 0 3.20312 Tags 8r Records 23 it? $402.13 Sewer and Waste Water Disposal a-eoati Food Labeling 2 PLUMBING 0 3-201.? Safe Food Handling Instructions 29 5201/02.? installed and Maintahad FOOD PROTECTION. TIME TEMP. CONTROLS 30 5.203.? 3 ion I St I ge.SackFiow 3 WW Tempa'a?u'? TOILET AND HANDWASHING FACILITIES 3403.11 Rehealing 03 3601.14 Cooling 31 5-2011 1 Number. Convenient $501.16 Hot and Cold Holding 0 5204/0511 Location. Restricted Use. Aoceesmle 3-402.11-.12 Parasite Retained 6-202.? Toilet Enclosed. Sell-Closing Doors 04 4-001 .11 Faciitles to Maintain Product [gmperturas 32 0-501.1 1-.12 Fixtures Clegn. Good Fleaalr 05 4-302.12 Food Thermometers Provided Hand Cleanser. Hand Drying. Signage FROM CONTAMINATI FOOD F10 ECT ON 0 33 5501.13.17 Adequate NunbLCov'eredNarmin Proof 0? 0 34106.14 No Reuse oi or Unwrapped Foods 5501.116 Clean OB 3-305-0111 Food Protection: 34 5601.111/115 Outside Storage Area Clean 3-30211 Separaton?egregatlon. No Cross Contamination INSECT. RODENT. ANIMAL CONTROL 09 3-301.? Hendlinggt Food lir ice Minimized. No Bare Hands 10 $304.12 in Use Ulenese Properly Stored as oi e501.11v.115 Insects. Rodents. Animals. Outer Openings PERSONNEL 36 6-201 .11 Floors. Constructed, Clean, Good Repair 11 590.003 DIE Personnel with Infections ReetrlotedlExduded 37 0-201.11 Walls. Ceiling. Attached Equin. Clean 24301.12 Proper. Adequate Hand Washing 38 0-303.? Adequate Lighting 12 0 590.004 Prevention oi Contamination ot Hands 6-202.? F'oruires Shielded 2-401 .11-.12 Good Hygenic Practices 39 04504.11 Rooms and Egulgment Vented 13 2?304.? Clean Clothes. Hair Restraints 40 6-305.? Dressing Room Clean 240211 "mm? OTHER OPERATIONS EQUIPMENT AND UTENSILS 41 7-101.11I02.11 Toxic Items: Original Container, Labeled 14 $202 11 Food Contact Surfaces: Designed. Maintained. 0 7-201.? 3&3le Separately installed 6-501.113I.114 Premises: Maintained. No Unnecessary Articles 15 +202 16 Non-Food Contact Surfaces: Designed. 42 $200.13 Mop Sink MaintainedI installed 2-1 03.11 No Unauthorized Personnel 4-501.11I.15 Dishwaehhg Facilities: Designed. Maintained. 43 6-202.111I.112 Separate Quarters 16 installed, Operated 44 ?0200.11 Cleaning and Sta 01 Solled Linens 44501.12 Three Sink Provided. Drainboards $905.11 Storage at Linen. Clean Eggpn Slgg?erv. Articles 17 4-204.1121.115 Equipment Thermometers. PreseUre Gauge HIGHLY SUSCEPTIBLE POPULATIONS 44302.14 Test 101 Provided to Test Sanitizer 18 4-003.12 Pro-Flushed. Scaped. Soaked 45 i $801.11 Food Restrictions and Food Preparation 19 4-501 .18-.110 Wash. Rinse Water Clean. Proper Temperature Number of violated provisions related to toadborne Illnesa a 20 4-501.112I114 Sanitized w/Chemical 0" 130 Water rlait lecture and interventions {Find Items 21 3304.14 Wiping Clothe: Clean. Sanitized. Use Restricted 22 4402.11 Food Contact Surfaces Clean Other Critical Iliiulatlru-rtli Dr . AN Print: W1 PlC?a Signature: Zia/f 1'1 174/ 614/, P11 Scheduled Date of? I Date 1 Compliance Installation A m3 3 Result CITY OF WOBURN BOARD OF HEALTH Wobum Olty Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 WhI/zc Elm/L; Jamal Hill?!? mm 60 6014) 811252 PageJ?oti. In the space below describe all violations checked on from page. Mu; 0 ??oors a W13 PL/jan umL-m (war 0 13/9? (?mm/age? erm QM n5} mg hair 0/ 22m Lw?r/d- ML 21mm)! ?ag/2 1907 29921725"? .41" ?/Pf/n [Km 0/1/17 my 25?- 6mm ., ?25m 9202 QIMQ @{Z?nnm MKS L001 lc rpm/r WV 202% Mm?? 1 5 "ff/{VhW? .m10554,~ CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 Name: I Date! [Ali/id; I Address: m7 thY-(y Purpose: 0/ Telephone: 31311 a?ga Type of Operation: 23132in El 0mm: Ammaric Sari/m6 ??i??ion 3 Temporary Food Other PersuninChar?iPICi ?221% 1 211g! 22; arsed on an Inspection this deli. the items merited the liriola In operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or Its agentconsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. If aggreived by this order, you to ITEM CODE 3-101.? 590004.] 1 $203.12 3-602.? 3-201.? 1.1 401.11-.1 4-202." 44202.16 $501,111.15 112.115 4 4-501.18-.110 t1?501.112I114 3-304_14 $802.11 Scheduled Date rr In FOOD PROTECTION MANAGEMENT Person in Consumer Advisories FOOD Source No of Shellatock ID 8: Records Food Food Instructions FOOD PROTECTION. TIME 8: TEMP. CONTROLS Hot and Cold Parasite Destructioni'Records Retained Facilities to Maintain Product Tl?tawed FOOD PROTECTION FROM CONTAMINATION No Reuse of or Foods No Cross Contamination oi Food 8. In Use Utencils Property Stored PERSONNEL Persome with Infections RestrictedIExcluded Hand Prevention oi oi Good Practices EQUIPMENT AND UTENSILS Food Contact Surfaces: Designed. Maintained. Contact Surfaces: Designed. Facilities: Designed. Maintained. eatiGt Provided to Test Rinse Water Sanitized wlChemical or 180 Water Cloths: Use Land- 11' EM CODE 3 5-203.? 0 5404105.? 6-202.14 $501.11- 12 6-301 .11-02.11 .111L115 .1 .114 1 111L112 11 4-903." 45 .11 Sewer PLUMBING Installed and Maintained Connection TOILET AND HANDWASHING FACILITIES To?et Enclosed. Fixtures Clean. Hand Cleanser. Hand REFUSE DISPOSAL INSECT . RODENT. ANIMAL CONTROL Insects. Rodents. Outer PHYSICAL FACILITIES Fractures Rooms OTHER OPERATIONS 01 at Clean Sarv. Articles HIGHLY SUSCEPTIBLE POPULATIONS Preparation Number of violated provisions related to foodborne Illness risk and Interventions. items .03.th Critical Violations crrY OF WOBURN BOARD OF HEALTH Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 Whnh?; Elcmer?vm Sahool Bow Shreg Item No. lnthoapaoe below all violations checked onfront page. H?r 17L (MU/an ?Dolf/ (a 33W: Flows W?Fgm Clean OZ, W111 [p Boa/SwQIm Cir/1m - Li I _1 Jun 11/! 1 1? r4 Micky/J! .r GIFM at 1.5 Jaw/{d ix? 01:, 5242;455 Madam? magma/1,4 9mm, . him (fl/My am (Um?r nu Han/13 Lm (HOP Ems- mild/1003a In Klm?wn [0 41?, him? Mr min/(Mgr: Ron/W; Harm ?raa Wham! [151? flu man/100mm WamaL Hind (UHF If) him/r) WI) 4? Di?/jmejs' and imam CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 Whi?i?. school l?I15 Addrmi PXEL) Purpose: Tmphona: *E?iHc?z} Time of Operation: :37chin a, rim mL 3 3 Parson In CI'Iargo Raf/m $381:ng food Other 0 Based on an Inspection this day, the Items merited be ow dentr the violation In operation or facilities which must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or its agentconsitlutes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. If aggreived by this order. you have ITEM FOOD PROTECTION MANAGEMENT 23 4-903.11f04.11 24 590.003 NB Person i1 25 4-904.? 3-6031 1 Consumer 26 4-502.13 FOOD 5401.11 N0 5-103.11-.12 Sheilstock ID SEWAGE 8- Records PLUMBING Installed and Maintained Food FOOD PROTECTION. TIME 81 TEMP. CONTROLS TOILET AND HANDWASHING FACILITIES 11 Number Hot and 11 Use. Parasite Retained 14 ProductT 6-501 11~.12 1 1 11 REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION or cm? ?mm? INSECT, RODENT. ANIMAL CONTROL Ice Hands Use Utencils Property Stored ?tend? PHYSICAL FACILITIES 590.000 DIE with Infections ResuictedJExcluded 2-301.12 Hand 500.004 mention of Cm?rtarnmalian of Hands 2-401 .11-.12 Practices and 2-301? 1 24102.11 OPERATIONS EQUIPMENT AND UT ENSILS 7-101.11I02.11 +202? Contact Surfaces: Designed. Maintained. 1201.1 1 1.1 131.1 14 4.20218 Contact Surfaces: Designed. 5203.13 103 11 3 Personnel Facilities: Designed. Maintained. 1111.112 11 and of .12 11 0I Chart SUSCEPTIBLE POPULATIONS 14 Kit Provided to Test Soaked 1 Water of violated provisions related to Ioodborne Illness CITY OF WOBURN BOARD OF HEALTH Woburn Olly Hall, 10 Common Street, Woburn, MA 01801 731-397-5920 Whil? Elem?r?zlgl SCDOOI mm" 3L0 60w) 8+?ch Item No. In the space below describe all vlolatlons checked on front page. Willem/f) (Y. l?m? Sam). on- {new mum 0L 3 1035)?) 13101: ??b?j/id well/yr: - 0L lama mill; comma amaze 86?? 02, JAN ?ling?MW may 480mm - 0L 55% {133er OL 19an &nl Iran c? 300?? 0L r?lm? mam alarm and ?no 1/ at, (Wmml Slam Walled unwm?d 0L Than rum- owld? 0L m- [mg Cl lofm( Clown Wed.- OL ea Olms? 0L Walk karm TFW Fl Pr? =sz CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 Elem?n-mm some I01 I WE: Purpose: Routine Telephone: 3T5 If. Ba a Pro: 1: Olilemtlon: FOIIOW UP 3 oo erv ce Complaint Owner. )4 Retail Food 0 Investigation CI Tarn ore Food CI Other CI Parson In Clings (PIG) HUQIZ 0 WIS IE Based on an Inspection day. the Items marked below Margy the vlolalions In operation or iacilitles which must be corrected by the date specified below. This report, when slgnedby a Board of Health (BOH) member or its an order of the BOH to correct vlolatlons. Failure to comply with notice may result in immediate suspension of your If aggreived by this order. you a . ITEM rrEM CODE FOOD PROTECTION MANAGBIIENT Person in Gommr FOOD Source No or Recalled. SEWAGE Shotletock ID Record! Waste DlsIaosaI Food PLUM IN FOOD PROTECTION. TIME s. TEMP. CONTROLS 520110211 '?s?n'hd ?mm 5203.14 3401-11--13 TOILET AND HANDWASHING FACILITIES 1 Number Hot and Cold Location. Restricted Use, Accessible Parasite Destmdioanacorda Retained REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION No Reuse oi PHF's or Foods .1 5501.1 111.115 cm INSECT, RODENT, ANIMAL CONTROL Hands In Use Utensils Properly Stored . Insects. PHYSICAL FACILITIES PERSONNEL Personnel with Infections Hand Prevantlon of Contamination of Hands PWWS Vented Clean Hair Room Chan Restraints OTHER OPERATIONS EQUIPMENT AND UTENSILS 7-101.11f02.11 Food Contact Surfaces: Delgned, Maintained. 7-201.? Installed 6-501.113I.114 No him-Food Contact Sudanes: Designed. $203.13 $an Imtalled 2.10:1" Unauthorized Personnel 4-501.11r.15 Dilhwaahing Designed. Maintained, 6-202.111l.112 Quarters Lace/03.11 and or $301.12 Three Dratnboards 4-903.? of Clean . Articles 4.2041111 ?5 HIGHLY SUSCEPTIBLE POPULATIONs $302.14 PrwidadtoTeel $803.12 3-801.? Food Restrictions and Food of vlolated provlalons related to Ioodborne Illness 4-202.? 4-202.16 or Use Restricted Scheduled Data of CITY OF WOBUHN BOARD OF HEALTH Woburn City Hall, 10 Common Street, Woburn, MA 01801 731-397-5920 Whn'b Sewer/?411801400! ??485th Address (3L0 8.760" Page__l_of_L Item NO. front page. m0 ?1}an OL Hand near bay (Roar) may CK (Way (1mm Omd mach? 0L 14mm ?nch ?#qu 4'68 0L milL (molar? m1 UL (100361 0L mm; (mg 011% {m 0L Knit? In ?r?cm a +5 0L \h 0L ?(H/rm a mad 0L not DthImAsJ dmhe5~ Omn?rw (Cm/(pd: 0L momma tE>+ H30 300/) mp?r 7mm? 0L mm wChommx Wmm? 019an 19mm 4ch CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 Name: WW ?p?iLi/e .mq??jirk ou Ine Telephone; :38 i 169 Type gt Operation: Cl Follow Up Cl Food ervice Complaint CI mm ?Yr/ti Retail Food Investigation CI rn orary Food Other CI Person in Cinema (Plcl?nm 167 Nomld Based on an inspec'tic? this day. the items marked below Identity the violations? In operation or facilities which must be corrected by the date specified below. This report. when signedby a Board of Health (BOH) member or its agentconsi?utes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. If aggrelved by this order. you have a rigid to a hearin . Your request must be in writing and submitted to the BOH at the above address within 10 days of receipt of this order. rrEM] CODE ITEM CODE 24 4-903.11l04.11 Clean Equipment and Utensils Property Stored 590.003 NB Person in Charge (PIC). 1153190813. Knowiedgable 25 4-904.? Single Service Articles Stored. Dispensed 0 13-30311 Consumer Advisories 26 4-502_13 No Re-Use of Single Service Articles FOOD WATER 590.004 NB Approved Source 27 5.1o1_11 Approved Source 3?1 01.11 No Spottege 5403.11-12 Hot 81 Cold Running Water. Under Pressure 01 590.004 Labeling 01 Ingredients. Recalled. Allergen $202.18 Shielistock ID SEWAGE $200.12 Tags 8. Records 23 5.40213 Sewer and Waste Water Disposal 34302.11 Food Labeling 02 3-201.11 Safe Food Handling Instmotiom 29 Installed and Maintained FOOD PROTECTION, TIME TEMP. CONTROLS 30 1: 5203.14 Cross Wnlam Slmgaammw 3401-1143 TOILET AND HANDWASHING FACILITIES 3403.11 Reheaiing 03 3601.14 Com 31 5-2031 1 Number. Convenient 0 3601.16 Hot and Cold Holding 0 5.204.105.? Location. Restricted Use. Accessible 340211-12 Parasite DeetrudioniFtecorde Retained 5202.14 Toilet Enclosed. Self?Closing Doors 04 Iii-301.1 1 Facilities to Maintain Product Tempertures 32 6-501.11-.12 Fixtures CleanJ Good Repair 05 $302.12 Food Therr?nornetere Provided 840111-0611 Hand Cleanser. H_a_n_d Drying, Slmage 06 3601.13 PHF's Prpperty Thawed REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION 33 5501.1}. 17 Ad_equate Number. Cove red,Vermin Proof 07 0 34506.14 No Reuse of PHF's or Unwrapped Foods 5-501.116 Cie_an 08 111-305-0111 Food Protection: Storage.DieE ay.Transportation 34 5601.11111115 Outside Storage Area Clean 3602.11 Separation?egregalion. Ne Cross Contamination INSECT, ANIMAL CONTROL 09 3401.11 Handling of Food 3. Ice Minimized. No Bare Hands 10 3304.12 In Use Utenciis Properly Stored 35 c.5011 111.115 Insects. Rodents. Animals. Outer Openings 4-302.? Food Dispensm Utensils Provided lor Sell-Service Unit PHYSICAL FACILITIES PERSONNEL 38 6401.11 Clean. Good Repair 11 590.000 DIE Personnel with Infections HestrictedlExctuded 37 6-201.? Walls. Calling. Attached Equip. Clean 2-301.12 Proper. Adequate Hand Washing 38 6-303.? Adequate Lighting 12 590.004 Prevention of Contamination of Hands 6-2021 1 I-?Ixiures Shielded 2401-1142 30013 Hygenlc Practices 39 640441 Room and Eduipment Vented 13 2-304.? Clean GlennaI Hair Restraints 40 6405.1 1 Dressing Room Clean 2402.11 Hair Restraints OTHER OPERATIONS EQUIPMENT AND UTENSILS 41 7-101-11?02-11 Toxic Original Container. Labeled 14 +202.? Food Contact Surfaces: Designed. Maintained. T-201.11 Stored Separately installed 6-501.1ta.i.114 Premises: Maintained. No Unnecessary Articles 15 4-202.16 Non-Food Contact Surfaces: Designed. 42 5203.13 Mop Sink Maintained. installed 2408.11 No Unauthorized Personnel $501.1 11.15 Dishwashing Fac?Itiee: Designed. Maintained. 43 &m11tl.112 Separate LivlngISiee i Quarters 1E Installed. Operated 44 480203.11 Cleaninggt'Id Storage 01 Salted Llnem $301.12 Three Compartment Sink Provided, Drainboarde 4?903.? Storage of Unen. Clean quip?g?erv. Articles 1., 11.204.112.115 {Equipment Thermometers. Pressure Gauge HIGHLY SUSCEPTIBLE POPULATIONS 11-30114 Test Kit Provided to Test Sanitizer 18 4.50312 Pro-Flushed. Scraged, Soaked 45 I 0] 34301.11 Food Restrictions and Food Preparation 19 4-501 .18-.1 10 Wash. Rinse Water Clean. Proper Temperature Number 01 violated provisions related to loodbome illness 20 (3 4-501.112It 14 Property Sanitized wiChemiCal or 180 Water [actors and interventions. {Filed Items 1601.03.07.08) 21 3304.14 Wiping_Cloths: Clean. Senitlzed. Use Restricted 22 4602.11 Food ?ontect Surtecaa r?lean Other Criticai Inspectors dame U1 Will U) . Fret Vi 1 {7:21, a - i ll non Sisoalum: i em \li 3. amusements. ?31} Dana?" . In Compliance Immiicn . mg Result CITY OF WOBUFIN BOARD OF HEALTH Woburn Olly Hall, 10 Common Street, Wobum, MA 01301 781-897-5920 Simime H?Iqhsahod Add? 88 avmuu, ltem No. In the space below all vlola?ona checked on lront page. mm UL 1111,! r? r11 1: ?1 r3 :gf?A/r??eeza?a CUM Mariam- ox hoIA Hm: OL @77er ml Came was?; 0K. ?aLB/ldae 0L. Vb?rhaJA?? gum-*1: 0L PMNOL ES Hilh 01mmAlumna-'? Ham 0L Who/n? Ila/?3462 Hm: mylf?h?? 0L vam?ea (Amkma Ho?nu- H291- or, 1mm WAT Pix/m? ?sh/AA hm urA? (2me mm OIL (1. 0110mm rimm- nc Ail/111x ?ery-Ada Hm Clean 0L 1 image mm~ {m up OFF lob/m" OIL (1310a In coola??a Fr?mfs #105 (Amni? Mme 0L 74/70/0? 0212/? 8/43? AL [Mn xmvm?x- 0L (m (??aag so good CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 Nahum SCDIOK 1110115ch We 89) 1110011101: martini midi i2! Ire Mona: a?l?ng??gi? 31? i53_ Own-at" Purpose: Routine 3/ Type of Operation: Follow Up Cl Food Service Complaint Retail Food El Investigation Other El ?gLaon In Charge W: Based on an Inspection this day. the items marked on ow Egg/?the vloiali porary Food Cl operation or facilities must be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or its agentconsitlutes an order of the BOH to correct violations. Failure to comply with this notice may result In Immediate suspension of your permit. I1 aggreived by this order. you have a right to a hearin . Your reguast must be in Wi'ilil'in?tltd aubrt_'ii_ttad to the BOH at the above address within 10 day-5 oi receipt at this order. ITEM cooE ITEM CODE FOOD PROECTION MANAGEMENT 23 $602.13 Non-Food Contact Surfaces Clean 24 4-903.11I04.11 Clean Equipment and Utensils Property Stored 590.006 NB Person In Charge Knovdedoable 25 44904.11 Single Service Articles Stored. Dispensed 3-603.? Consumer Advisories 26 44502.13 No Rl-Uea of Single Sonvlce Articles FOOD WATER 590.004 NB Approved Source 27 6401.11 Approved Source 3-1 01.11 No Spoliage 5.1 03,1 1-_12 Hot ti. Cold Running Water. Under Pressure 01 590.004 Labeling of ingredients, Recalled. Allergen $202.18 Shallstock ID SEWAGE 0 3203.12 Tags a. Records as [c 5.40213 Sawor and Waste Water Disposal 0002.11 Food Labeling PL MBING 02 3201.11 Safe Food Handling Instructions 29 5-201r02.1 1 Installed and Maintained FOOD PROTECTION. TIME 8. TEMP. CONTROLS 30 5-200.? Cross Comectton?aoit Siphonape?acit?ow 040111-13 Tem'atum TOILET HANDWASHING FACILITIES 0 3403.11 Reheating 03 3-501.? Cooling 31 5203.1 1 Number. Convenient 0 3-501 16 Hot and Cold Holding 5-2041'0511 Lorallon. Heatmted U511, Masonite 3.402.11-.12 Parasite Destruction/Records Retained 6-202.i4 Toilet Enclosed. Sgll-Cloeing Doers 04 4401.11 Facitities to Maintain Product Tenpenures_ 32 6-5011 1~.12 Fixtures Clean. Good Hepalr 05 44502.12 Food Thennometera Provided 640111-0211 Hand Cleanser. Hand Drying. Sigma 06 3501.13 PHF's Property Thawed REFUSE DISPOSAL ON I A FOOD PROTECTION FROM 0 MINATION 33 5501.13.17 Mammals Number. Covared,Vennln Proof (1 3-306.? No Rome 01 or Unwrapped Foods 5501.116 Clean 08 3306-0111 Food Protection: Storage.Diepiay.Tranaportatlon 3-1 55011111115 Outside Storage Area Clean 09 $301.11 Handling oi Food 8r ice No Bare Hands 10 $304.12 In Use Utancila Properly Stored as 1 ct 5.501.110.115 Int-race, node-rte. Animate. Outer Openings 4?302.? Food Dispensing Utensils Provided for Sell-Service Unit PHYSICAL PERSONNEL 36 5201.11 Floors, Constructed. Clean. Good Repair 11 590.003 DIE Personnel with Infections Restricted/Exduded 37 6-201 .11 Watts. Ceilitq. Attached Equip. Clean 0 24301.12 Pigper. Adequate Hand Washing 39 6-303.? Adequate Lighting 12 0 590.004 Prevention of Contamination of Hands 6-2021 1 Fixtures Shielded 0 24.01.1142 Good Hyganic Practices 39 6-304.? Rooms and Equipment Vented 13 2-304.? mean Clothes. Hair Restraints 40 6-3051 1 Dressing Room Clean 240211 Hair Restralnls OTHER OPERATIONS IPM I 0U ENT AND L5 41 7.131.11/0211 Toxic Items: Original Container. Labeled 14 4-202 11 Cum? swam: 093?9m- Mahl?lned- 7-201.11 Stored Separately Installed 6-501 .1 131.1 14 Premises: Maintained. No Unnecessary Articles 15 4-202 15 Non-Food Contact Surfaces: Designed. 42 5403.13 Mop Sink Maintained. Installed 2403.11 No Unauthorized Personnel #50, .11 1.1 5 Dishwashing Facilities: Designed. Maintained. 43 5202.111? 12 Separate WSleeping Quarters 13 InstalledI Operated 44 Clean? and Sto a of Solled Linens 4601.12 Three Compartment Sink Provided. Drainboarda 4-903.? Storage 01 Unen. Clean Equip. SIng.Sarv Articles 17 4-2041 121.1 1 5 eqipment Thermometers. Pressure Gauge HIGHLY SUSCEPHBLE POPULATIONS $302.14 Test Kit Provided to Test Sanitizer 1a 44103.12 Pro-Flushed. Scraped. Soaked 45 LC 34301.11 Food Restrictions and Food Preparation 19 10 Wash. Rinse Water Clean. Proper Temperature Number oi violated provisions related to focdborne Illness 20 40501112114 Properly wiChemic-al or 180 Water risk factors and Interventions. (Pied llama 21 3304.14 110th Cloths: Clean. Sanitized. Use Restricted 22 44102.11 Food Contact Surfaces Clean Other Critical Violations Inspector?s Signamrak-?m?p Print: 90 [bah 1 PiC'e Sigil?urez/O u? me (k Flip in? \h W?k? rm Scheduled Date}! 1? Data at i lnapeoliun A m6 Result CITY OF WOBURN BOARD OF HEALTH Woburn Clty Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 Wobwn Senna/l Huh School ?(Nil/18 Address 88 mOh?h/Ol lc Ovenucu Page_l_ot_l_ Item No. 0L 0L In the space below deacrlbo all vlolatlons checked on front pogo. 9 [far ml Wu (6 (9 I445 HWL. 5? 11+ (HMS 0L W47 19mg mum 09mg 935% OlLa a aim/me b01474? lI?dF 0L 31mm me Fla/(3L (JUL (211.2(111 Wm 0H Emologlz??s glows or- F1008 LIMLIS. Calm/IE. ln am 0L ?at Hola- law mt @155 p- Samm?b Cum-mm NaPJrall? Hm; 13mm MN) Sm l/ 41% F730 qugermwm (I hm 110er flow-F mar 0L 3 :3an OL mt mule ?rms (3L UYMLL- In (molar gIo?F? Foch 9: ?Grins (?Aron 0L (MW: Waczrr (3 Fla-aha (Em; 01mm OL Dru eri?M'Ol (1H l+?mh 1m (390 Flaw/3 mt?l?wmn? 15mm 0L I he 01L (L Hand mm nan/r 72m; mill? (mlm/(i? 29 0L Open ?lm, (hora: (031% CITY OF WOBUFIN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 Purposm Routine Type of Operation.- Follow Up Food Service 0 Complaint Retail Food Cl Investigation Pamnn Temporary Food Cl Other marked be do he violation; In operation or iaollilies which must and submitted to the EIOH at the above address within to da - oi recel-t or this order. Mlm? Non-Feed Content Surfaces Clean m_CIm I amend Ulan?s Stored PmSame Antares Slum Dis-mad WNW-HEE- .- Hot Hum-rim Water. Under Premiere 6401:1111 1 installed and Maintained II Cress Carnation?nck Biplaonega,aeckFiow TOILET AND HANDWASHING FACILITIES .c members-swam Hat and Cold I-ioidlnr my ten-ration. Baotou-u erl Ammo 1 -.12 Fruits $202.14 Toilet Enclosed Sell-crmin. Door: - Was Clean, Goad Re . - Hand Clem:r.HandDi . Sina-?e REFUSE DISPOSAL Ade-unto Number Covered Vun'niri Proof Outside Slam Area Clean a? Imam. Rodents. Animals. Dinar Opel-rims mm- II Stored Utmls Provided iar Sari-Service Linil 590,003 DIE Hes?'i?ad?ExuludBd AttachedE i.,Cleen I Pmner. vale Hum Washim Mannie Prevenlion oi Gmlermna'mn of Hand: mm- Fixtures Shielded MEI Gm Io Premium! Ell? Humane: Enulmanr Varied 13 ml- cram (Home: Heir Heslminls Dmm- Roam Clean Mm? EQUIPMENT mo musuts ,4 Food Cenlact Buriaees; Designed. Maintained, lnetailed - n. 4.2021 8 Food Conlact Sansone.- Designed. .CIean Emile.I Sing?ew. Articles Non- MalnlninEd. Installed HIGHLY POPULATIONS Dishwaahhu Families: Designed. Maintained. Installed - intact .m Tine-e Com . - Provided. Drelnbonrde Tm Kit Provided to Test Sanitizer CITY OF WOBURN BOARD OF HEALTH Woburn Olly Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 anm Mm)? mob mm ll ?an? 88 mom/ale: 0 va Paco?Lou!? Item No. In the space below deacrlbe all vlolatlons checked on front page. 1mm fl 0L (3 ?oor 0L 96pm 0119ch mama 1/?le 0L [10..1 ante: at Hand SJHL mar Mp 3?er a soap 0L Pmdmees Heb Cllovex Mans QK. Jar-'Fndolz. Nau- oven 7:6 or. ram?(3mm ail Who/3 (2 34? or, ml hold m??msfa 145; OK, ml may OK {jar 0L +1m mlol ?lamp VF 0L S?fvsall?- Cunihn. MHz-lam Hal 0L 2; km; 02mm @agamw- lam m- 0L 4+7 duh Mm: soap Ella/ml; 0L wrap (9. ME Fll?ra 43L. Wu L- Ilr?l Frazer (I381: Em? afhm (\lmun hm Sluaqm 0mm? (241.:me [aballcol aq?axy 0L ~dmr ?En/10? LDI Wani?? L1H on *Tbl mm nj?q?l QL a? 0V, Wri?w?i or, Den??oni @5144 54977 0L r?nllL (mar NF flu ?ll/K CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 Name: Lip?j?/ Date: Address: 5% WWO We: Tatum: 451 EH3 1853 Time of Operation: 1531:?er Food Service Ci Complaint Owner. [41/0 4141? Retail Food 0 Investigation Magnesia IPICI CU Whig ?91:11:? LL gr Other WW: Based on an Inspection this day. the items marked he cw idenl I a vioiari in operation or facilities which must be corrected by the date Speci?ed below. This report. when signedby a Board of Health (80H) member or its agentoonsitiutas an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. If aggreived by this order. you must be In the above address of ITEM CODE ITEM FOOD PROTECTION MANAGEMENT 0000K $802.13 Clean Person in 11 Consumer Advisories 4.50213 new? FOOD WATER Source 3-1 1 No of 3202.13 Shelleloclr. ID SEWAGE 3203.12 5. Records Sewer and Waste 3602.11 3201.11 PLUMBING 5-201ro2.11 and 14 Cross AND HANDWASHING FACILITIES FOOD PROTECTION. TIME 8r TEMP. CONTROLS Hot and Cold Accessible Parasite Destruction/Records Retained Facl?ea . Good REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION 5-501. .17 No Home oi or Foods 5501.116 Protection: 55011111115 ?mam? INSECT, ANIMAL CONTROL of Food 8. Ice No Use Properly Stored B- .1 111L115 ?End" ?mm? PHYSICAL FACILITIES PERSONNEL 5201.11 Infections 6-201.? 11 11 11 Vented Room OPERATIONS EQUIPMENT AND UTENSILS oxic Items: 4,202? Contact Surfaces: Designed. Maintained, Maintained No Contact Surfaces: Designed, Personnel 4.501.111.15 Facilities: Designed. MaInIaIned. oi Grilled Linens ?2 .Senr. 1 14" SUSCEPTIBLE POPULATIONS 11 and Food her ol violated provlelone related to loodbome Illness lecture I Items 4-501t .1 4-501.1121114 wJChemicaI or ISO We 331?.? FI 4-802.? CITY OF WOBURN BOARD OF HEALTH Woburn Clty Hall, 10 Common Street, Wobum, MA 01801 731-397-5920 N0. Dang/?? Add? WOWKM Item No. lnthoopaoobelow doocrlbo all vlolatlonscheckodon front page. 000/)? kw} an; ??ntr ?an - 7757? 1?5:qu - 0L @419 (Minna ?imn e? mum/1 0L Hm hob/L rm: hz?-Jmm 1315(2)er OIL amr ?ame ml am Oft??lf? (Lu Sana 0L (SI-CM): {had/e: c0] (Emu 5:21.114; 63 0L mw mnho (Limos or. a dock Fri/Jag, nu! Or??rf?r?lR (9541?: 0L Wm (Lima ?3 OL 2'5] fj?j??ff??f" my; ?1'33 17:" (ML Flam/:3 waits Calrmn (71mm: mm ram/r Plimlo?mnfm J-J 2m; Ok 3 haw Jamur?d an-fODdaAISOm 0L Ham jinx, 13(9qu jb?tm 6mm; Hat Wm.) mmrwas 0L Wmht?v? Rm: (21036.63 IEWF 0L mr use 31am 0L {m m-H/daw (93 meI at (20041.? 15:0me an?ac (:Jr?an 0L rM3 Mm (?Jam a; mg Jams ?10 EFF/oars Firm-f W. 0L amr meg HQTF m, ?m now N?a (9mm- a?mr Mrrm?r 0/65 +kmd (any W. 12511 {1mg {Imp??n'gMEb m, (pen an" Kim/fr? 3? 41 ml; IL {Mfr '39 0L ?mplotpr Hal: glam (1mm. CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 ,m 5mm? Mum} Ia) lip . 1 Min 5'97] FWD-059: Telephone: 'q a 3' 3993151? of Operation: 153:2:er drama/?L Investigation Ci Ugo porary Food Other Person in 3 Pi on: Based on an inspection this day. the items marked 11 If); the motel: ns in operation or facilities which must be corrected by the date specified below. This report. when signedby a Board of Health (BOH) member or its agentconsitiutes an order of the BOH to correct violations. Failure to comply with this notice may result in immediate suspension of your permit. It aggrelved by this order. you in within 1 CODE CODE Fooc PROTECTION MANAGEMENT 1'3 [3013011 Person in Consumer Advisories FOOD Source 5101.11 No 11-. of Shellstock ID It Records PLUMBING 5201/02.? Installed and 5-206.? ?1 AND FACILITIES 3403.11 3.501.141 . $501.16 Hot and Cold Use. stole 3402,1142 Parasite Destruction/Records Retained 4-301.11 Faclhiea to Maintain Product 44302.12 Food Thermometers Provided Hand 3601.13 PHF's Thowed REFUSE DISPOSAL FOOD PROTECTION FROM CONTAMINATION 17 No Reuse of or Foods .11 1 1111.1 15 INSECT. RODENT. ANIMAL CONTROL In Use Utencils Property Stored . 111.115 Animals. PHYSICAL Food Instructions FOOD PROTECTION. TIME 8. TEMP. CONTROLS PERSONNEL Personnel with Iniections . Hand Prevention of of Hands Good Practices Hair Restraints OTHER OPERATIONS EQUIPMENT AND UTENSILS 7-101.11l02.11 Food Contact Surfaces: Designed. Maintained, 7-201.? .11 .114 No Contact Surfaces: Designed. 42 1a Sink 11 No Unauthorized Personnel 43 1111.112 44 460210311 and of Boiled Drainboards 11 at HIGHLY SUSOEPTIBLE POPULATIONS 4-202.? 4-202.1E 11.501.11.145 Fecii?rtles: Designed. Maintained. to Sanitizer 45 3801.1 1 Emu Rinse Water Number of violated provisions related to Ioedbomo Sanitized wiChemical or 180 Water risk teeters Scheduled Date OF WOBURN BOARD OF HEALTH Woburn City Hall, 10 Common Street, Woburn, MA 01801 781-897-5920 Wuman (Wm! Ila/M14 my, #7 Wm 3W ?mi?LL Item No. In the space below describe all violations checked on lront page. (DI 0%?37133 0L WM a?mw-H? MM l6" Ir? 1:995 Hit {1an Moms- m, mw'lx mm? aLu Aprils up amp/om astral 57L 0L a?ay?dm 51F 0L Mr lab/11m! ma?a/161MB mg mill. wavy: anmy Wm! (3L Jn'mr: L36 Lurfmile? 0L 7?0le M) amd mm}? OIL (LU OHS. M30113 (him/21 0L rel?hDJOr Lm?hmm amide I mean opal/m (must-?, CITY OF WOBURN FOOD ESTABLISHMENT INSPECTION REPORT Woburn City Hall, 10 Common Street, Woburn, MA 01801 781 -897-5920 Wolman Barnett-am School imam Sit/6&7 Address: Purpose: ?81 Bat-L55 :W/irmmi Stain/rho; Person In Charge I. lie Based on an inspection this day, the items merited Type of Operation: Food Service Retail Food Eamon; iiood 0 below denial the viola i? one In operation or facilities which must Routine Follow Up 0 Complalnt Ci Investigation Other 0000? be corrected by the date speci?ed below. This report. when signedby a Board of Health (BOH) member or Its agenloonsititrtes an order of the BOH to correct violations. Failure to comply with this notice may result In immediate suspension of your permit. If aggreivad by this order. you have a right to a hearin . Your request must be in writlnq and submitted to the BOH at the above address it] days at receipt of this order. ITEM 1 coats ITEM 0005 24 4-903.11l04.11 Clean Equipment and Utensils Properly Stored Ci 590.003 Ma Person In Gurus (Pict- nssidmd. Knowiedgabte 25 4,904.11 Single slime Articles Stored. Dispensed 1 3-603.? Consumer Advisories as 4.50243 No Re?Uae of Single Service mode FOOD WATER 0 590.004 NB Appmved Source 27 0 5-101 .11 Approved Source 3-101.11 No Spoliage 540311-12 Hot Cold Running Water. Under Pressure 01 590.004 .J Labeling of ingredients. Recalled. Allergen 0 3?202 18 Shallstook ID SEWAGE 0 seems Tags 8. Records 23 oi 5402,13 Sewer and Waste Water Disposal 3-602.? Food Labeling 02 3-201.? Safe Food Handling instructions PLUMBING 29 5201/0211 Instalbd and Maintained FOOD PROTECTION. TIME TEMP. CONTROLS 30 5203.14 Cross Conn ectlon.Ba ck SI phonagedia ckHow 0m? TOILET AND HANDWASHING FACILITIES 3403.11 Reheating 03 3501.14 Cooling 31 9 5.20311 Number. Convenient 0 3501.16 Hot and Cold Huiding 5204105." Location. Restricted Use, Accessible 340211-12 Parasite Retained $202.14 Toilet Enclosed. Sail-Closing Doors 04 4-301.? Facilities to Maintain Product Tempertures 32 6-501.11-.12 Fixtures Clean. Good Rep_air 05 4-302 12 Food Thermometers Provided 6601.11-0211 Hand Cleanser. Hand Drying. Signage FOOD PROTECTION FROM CONTAMINATION 33 5501.13.17 Adequate Number. CovaradNermln ProoI or 34306.14 No Reuse of or Unwrapped Foods 5501.116 Ciee_n 08 3405-0111 Food Protection: 34 5501.111L115 Outside Storage Area Clean 3-302.? Separation.Segregatlon. No Cross Contamination RODENT. ANIMAL CONTROL 09 11-30111 Handling 01 Food toe M. lnimlzed. No Bare Hands 10 ctr-304.12 In Use Utensils Properly Stored 35 GI ?1.1111115 Insects. Rodents. Animate. Outer Openings 4-30211 FWing Uteno'ts Provided tor Self-Service Unit . w" PHYSICAL FACILITIES PERSONNEL 36 3-201,? Floors. Constructed. Clean. Good Repair 11 590.003 DIE Personnel with Infections Restricted/Excluded 3? 3-201.? Walls. Ceiling. Attached Equip.. Clean 0 2.30142 Proper. Adequate Hand Washing 38 3-303.? Adequate Lighting 12 0 590,004 Prevention ol Contamination of Hands 6-202.? Fixtures Shielded 2-401 .11-.12 Good Hygenic Practices 39 ill-304.11 Rooms and Equipment Vented 13 2404.11 Cli?n Clothes. Heir Restraints 40 6-305.? Dressing Room Clean 240211 Hair Restraints OTHER OPERATIONS EQUIPMENT AND UTENSILS 41 1.1n1_1 1.10211 Tom: Items: Original Container. Labeled 14 +202.? Food Contact Designed. Maintained. 0 7-201.? Stored separately Installed Premises: Maintained. No Unnecessary Articles 15 41?20246 Non-Food Contact Surfaces: Designed. 42 5203.13 Mop Sink Mehtalned. Installed 2-103.? 3 No Unauthorized Personnel Dishwashing Facilities: Designed. Maintained. 43 6?202.111l.112 Separate leringieepll-lg Quartets 13 Installed. Operated 44 Cleaning and Sigma 01 Soiled Linens 4.301.12 Three Compartment Sink Provided. Dralnboarde 44103.11 Storage of Linen. Clean Equip.. Sing.Sa~. Articles 17 4?2041 121.1 15 Equipment Thermometers. Pressure Gauge HIGHLY SUSCEPTIBLE POPULATIONS 4-30214 Test Kit Provided to Tara Sanitizer 18 4.60112 Pro-Flushed. Scrapsd. Soaked 45 Ci 3501.11 Food Restrictions and Food Preparation 19 4-501.1B-.110 Wash. Rinse Water Clean. Proper Temperature Number 01 violated provisions related to loodboma illness 20 4-501.112I114 Properly Sanitized til/Chemical or 180 FWater rial-i factors and interventions. (Red Items M.a1.nt3.il?.081 21 3-304.? Wiping Cloths: Clean. Sanitized. Use Restricted 22 5,602.11 Food Contact Surfaces Clean Other Critical Violations PlG?s mar/77m Flt/71rd! no and 7% Scheduled Data at Compliance hamlet-l D8135 Result 474.. CITY OF WOBURN BOARD OF HEALTH Wobum Clty Hall, 10 Common Street, Wobum, MA 01801 781-897-5920 Wuman Elf?Wm?m 8(hml Pago_\_of_J_ mam 5116:121? ltom No. In the space below all vlolatlons checked on from page. Ulnm OI anhw?n ulna 12.1.10 OL (Mm Pm {Egan a In mm/ ream/?? 01:, do) Irm?me {9 8617?? 010195? 354%); mam/m. of'bmm am 0L mans (lab/ms ill/an? 1n {mad I?c?-A?ixr Oil. on), hm) Mammy-Is I?m rm ?rm?md 0L Hm (100ka if F- 0% fly/mar fit/x M171 0: 0 km Wm: (3L hold OJi?j/f- 19011 l/L?g? 0L #2th ()Imn Cl, (M47155 H614 KIWI glam?