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Subject: Food Facility Inspection Report
Date: Mon, 28 Dec 2009 13:31:26 -0500
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<TABLE cellSpacing=3D0 cellPadding=3D0 width=3D750 border=3D0>
  <TBODY>
  <TR>
    <TD class=3DborderRightBottom align=3Dmiddle width=3D500>
      <TABLE cellSpacing=3D0 cellPadding=3D0 border=3D0>
        <TBODY>
        <TR>
          <TD vAlign=3Dbottom width=3D75><IMG=20
            =
src=3D"http://ga.state.gegov.com/_templates/87/DHR_71x83.gif"> </TD>
          <TD class=3DArialEleven vAlign=3Dtop align=3Dmiddle =
width=3D425><B>GEORGIA=20
            DEPARTMENT OF HUMAN RESOURCES <BR>Food Service Establishment =

            Inspection Report=20
            <TABLE class=3DArialEleven cellSpacing=3D0 cellPadding=3D0 =
border=3D0>
              <TBODY>
              <TR>
                <TD vAlign=3Dbottom width=3D125 =
height=3D20><B>Establishment=20
                  Name:</B> </TD>
                <TD class=3DborderBottom vAlign=3Dbottom width=3D275=20
                  height=3D20>&nbsp;DJ's Cafe </TD></TR></TBODY></TABLE>
            <TABLE class=3DArialEleven cellSpacing=3D0 cellPadding=3D0 =
border=3D0>
              <TBODY>
              <TR>
                <TD vAlign=3Dbottom width=3D75 =
height=3D20><B>Address:</B> </TD>
                <TD class=3DborderBottom vAlign=3Dbottom width=3D325=20
                  height=3D20>&nbsp;14656 Brown Bridge RD=20
          </TD></TR></TBODY></TABLE></B></TD></TR>
        <TR>
          <TD width=3D500 colSpan=3D2>
            <TABLE class=3DArialEleven cellSpacing=3D0 cellPadding=3D0 =
border=3D0>
              <TBODY>
              <TR height=3D20>
                <TD vAlign=3Dbottom width=3D30><B>City:</B> </TD>
                <TD class=3DborderBottom vAlign=3Dbottom =
width=3D100>&nbsp;COVINGTON=20
                </TD>
                <TD vAlign=3Dbottom align=3Dright width=3D50><B>Time =
In:</B> </TD>
                <TD class=3DborderBottom vAlign=3Dbottom align=3Dmiddle=20
                  width=3D40>&nbsp;09 </TD>
                <TD vAlign=3Dbottom width=3D5><B>:</B> </TD>
                <TD class=3DborderBottom vAlign=3Dbottom align=3Dmiddle=20
                  width=3D40>&nbsp;40 </TD>
                <TD class=3DArialSeven vAlign=3Dbottom align=3Dmiddle=20
                  width=3D30><B>AM</B> </TD>
                <TD vAlign=3Dbottom align=3Dright width=3D70><B>Time =
Out:</B> </TD>
                <TD class=3DborderBottom vAlign=3Dbottom align=3Dmiddle=20
                  width=3D40>&nbsp;11 </TD>
                <TD vAlign=3Dbottom width=3D5><B>:</B> </TD>
                <TD class=3DborderBottom vAlign=3Dbottom align=3Dmiddle=20
                  width=3D40>&nbsp;35 </TD>
                <TD class=3DArialSeven vAlign=3Dbottom align=3Dmiddle=20
                  width=3D30><B>AM</B> </TD></TR></TBODY></TABLE>
            <TABLE class=3DArialEleven cellSpacing=3D0 cellPadding=3D0 =
border=3D0>
              <TBODY>
              <TR height=3D20>
                <TD vAlign=3Dbottom width=3D100><B>Inspection Date:</B> =
</TD>
                <TD class=3DborderBottom vAlign=3Dbottom =
width=3D30>&nbsp; </TD>
                <TD class=3DborderBottom vAlign=3Dbottom=20
                  width=3D50>&nbsp;<STRONG>12/22/2009</STRONG> </TD>
                <TD class=3DborderBottom vAlign=3Dbottom =
width=3D30>&nbsp; </TD>
                <TD vAlign=3Dbottom align=3Dright =
width=3D50><B>CFSM:</B> </TD>
                <TD class=3DborderBottom vAlign=3Dbottom =
width=3D180>&nbsp; Daniel=20
                  Hunsaker 4417348 06-13-2010 </TD></TR></TBODY></TABLE>
            <TABLE class=3DArialEleven cellSpacing=3D0 cellPadding=3D0 =
border=3D0>
              <TBODY>
              <TR>
                <TD class=3DborderRightBottom width=3D360><B>Purpose of=20
                  Inspection: &nbsp;&nbsp; Routine <IMG=20
                  =
src=3D"http://ga.state.gegov.com/_templates/87/circle_filled_10x10.gif"=20
                  align=3DabsMiddle> &nbsp;&nbsp; Followup <IMG=20
                  =
src=3D"http://ga.state.gegov.com/_templates/87/circle_10x10.gif"=20
                  align=3DabsMiddle> &nbsp;&nbsp; Complaint <IMG=20
                  =
src=3D"http://ga.state.gegov.com/_templates/87/circle_10x10.gif"=20
                  align=3DabsMiddle> <BR>&nbsp;&nbsp; Preliminary <IMG=20
                  =
src=3D"http://ga.state.gegov.com/_templates/87/circle_10x10.gif"=20
                  align=3DabsMiddle> &nbsp;&nbsp; Other <IMG=20
                  =
src=3D"http://ga.state.gegov.com/_templates/87/circle_10x10.gif"=20
                  align=3DabsMiddle>=20
                  <TABLE class=3DArialEleven cellSpacing=3D0 =
cellPadding=3D0=20
                    border=3D0><TBODY>
                    <TR height=3D20>
                      <TD vAlign=3Dbottom width=3D175><B>Risk Type: =
&nbsp; 1 <IMG=20
                        =
src=3D"http://ga.state.gegov.com/_templates/87/circle_10x10.gif"=20
                        align=3DabsMiddle> &nbsp; 2 <IMG=20
                        =
src=3D"http://ga.state.gegov.com/_templates/87/circle_filled_10x10.gif"=20
                        align=3DabsMiddle> &nbsp; 3 <IMG=20
                        =
src=3D"http://ga.state.gegov.com/_templates/87/circle_10x10.gif"=20
                        align=3DabsMiddle> </B></TD>
                      <TD vAlign=3Dbottom align=3Dright =
width=3D50><B>Permit#:</B>=20
                      </TD>
                      <TD class=3DborderBottom vAlign=3Dbottom=20
                        width=3D125>&nbsp;FSP-107-000040 =
</TD></TR></TBODY></TABLE>
                  <TABLE class=3DArialSeven cellSpacing=3D0 =
cellPadding=3D0=20
                    border=3D0><TBODY>
                    <TR>
                      <TD class=3DborderAll width=3D225>Risk Factors are =
food=20
                        preparation practices and employee behaviors =
most=20
                        commonly reported to the Centers for Disease =
Control and=20
                        Prevention as contributing factors in foodborne =
illness=20
                        outbreaks. Public Health Interventions are =
control=20
                        measures to prevent illness or injury. </TD>
                      <TD class=3DborderAll width=3D125>Good Retail =
Practices are=20
                        preventive measures to control the introduction =
of=20
                        pathogens, chemicals, and physical objects into =
foods.=20
                      </TD></TR></TBODY></TABLE></B></TD>
                <TD width=3D140>
                  <TABLE class=3DArialSix cellSpacing=3D0 =
cellPadding=3D0 border=3D0>
                    <TBODY>
                    <TR height=3D43>
                      <TD class=3DborderAll vAlign=3Dtop align=3Dmiddle=20
                        width=3D46>Last Score<BR><BR>
                        <DIV style=3D"FONT-SIZE: 16pt" =
align=3Dcenter></DIV></TD>
                      <TD class=3DborderAll vAlign=3Dtop align=3Dmiddle=20
                        width=3D46>Grade<BR><BR>
                        <DIV style=3D"FONT-SIZE: 16pt" =
align=3Dcenter></DIV></TD>
                      <TD class=3DborderAll vAlign=3Dtop align=3Dmiddle=20
                        width=3D46>Date<BR><BR>
                        <DIV style=3D"FONT-SIZE: 8pt"=20
                        align=3Dcenter><STRONG></STRONG></DIV></TD></TR>
                    <TR height=3D43>
                      <TD class=3DborderAll vAlign=3Dtop align=3Dmiddle=20
                        width=3D46>Prior Score<BR><BR>
                        <DIV style=3D"FONT-SIZE: 16pt" =
align=3Dcenter></DIV></TD>
                      <TD class=3DborderAll vAlign=3Dtop align=3Dmiddle=20
                        width=3D46>Grade<BR><BR>
                        <DIV style=3D"FONT-SIZE: 16pt" =
align=3Dcenter></DIV></TD>
                      <TD class=3DborderAll vAlign=3Dtop align=3Dmiddle=20
                        width=3D46>Date<BR><BR>
                        <DIV style=3D"FONT-SIZE: 8pt"=20
                        =
align=3Dcenter><STRONG></STRONG></DIV></TD></TR></TBODY></TABLE></TD></TR=
></TBODY></TABLE></TD></TR></TBODY></TABLE></TD>
    <TD class=3DborderAll vAlign=3Dtop width=3D250>
      <TABLE class=3DArialEleven cellSpacing=3D0 cellPadding=3D0 =
border=3D0>
        <TBODY>
        <TR bgColor=3D#cccccc>
          <TD class=3DborderBottom align=3Dmiddle width=3D125><B>CURRENT =
SCORE</B>=20
          </TD>
          <TD class=3DborderBottom align=3Dmiddle width=3D125><B>CURRENT =
GRADE</B>=20
          </TD></TR>
        <TR height=3D188>
          <TD class=3DborderRightY align=3Dmiddle width=3D125>&nbsp;
            <DIV style=3D"FONT-SIZE: 55pt; COLOR: black"=20
            align=3Dcenter><STRONG>84</STRONG></DIV></TD>
          <TD class=3DborderAll align=3Dmiddle width=3D125>&nbsp;
            <DIV style=3D"FONT-SIZE: 55pt; COLOR: black"=20
            align=3Dcenter><STRONG>B</STRONG></DIV></TD></TR>
        <TR>
          <TD class=3DborderAll width=3D250 colSpan=3D2>
            <TABLE class=3DArialSeven cellSpacing=3D0 cellPadding=3D0 =
border=3D0>
              <TBODY>
              <TR>
                <TD class=3DborderRight width=3D100 =
bgColor=3D#cccccc><B>SCORING AND=20
                  GRADING:</B> </TD>
                <TD vAlign=3Dbottom width=3D150><B>A=3D90-100 =
&nbsp;&nbsp; B=3D80-89=20
                  &nbsp;&nbsp; C=3D70-79 &nbsp;&nbsp; U&lt;69=20
            =
</B></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></TD></TR></TBODY=
></TABLE>
<TABLE class=3DscreenSpace style=3D"PAGE-BREAK-AFTER: always" =
cellSpacing=3D0=20
cellPadding=3D0 width=3D750 border=3D0>
  <TBODY>
  <TR>
    <TD>
      <TABLE cellSpacing=3D0 cellPadding=3D0 width=3D"100%" =
bgColor=3D#000000=20
        border=3D0><TBODY>
        <TR>
          <TD align=3Dmiddle bgColor=3D#cccccc>
            <P class=3Dblacktitle>FOODBORNE ILLNESS RISK FACTORS AND =
PUBLIC HEALTH=20
            INTERVENTIONS</P></TD></TR>
        <TR>
          <TD bgColor=3D#ffffff>
            <TABLE cellSpacing=3D0 cellPadding=3D0 width=3D"100%" =
border=3D0>
              <TBODY>
              <TR class=3Dnine>
                <TD align=3Dmiddle><B>IN</B>=3Din =
compliance&nbsp;&nbsp;&nbsp;=20
                  <B>OUT</B>=3Dnot in compliance&nbsp;&nbsp;&nbsp; =
<B>N/O</B>=3Dnot=20
                  observed&nbsp;&nbsp;&nbsp; <B>N/A</B>=3Dnot applicable =
</TD>
                <TD>&nbsp;&nbsp;</TD>
                <TD align=3Dmiddle><B>COS</B>=3Dcorrected on-site during =

                  inspection&nbsp;&nbsp;&nbsp; <B>R</B>=3Drepeat =
violation=20
              =
</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></TD></TR>
  <TR>
    <TD>
      <TABLE cellSpacing=3D0 cellPadding=3D0 width=3D"100%" =
align=3Dcenter border=3D0>
        <TBODY>
        <TR>
          <TD vAlign=3Dtop align=3Dmiddle width=3D"50%">
            <TABLE height=3D330 cellSpacing=3D1 cellPadding=3D0 =
width=3D"100%"=20
            bgColor=3D#000000 border=3D0>
              <TBODY>
              <TR class=3Dnine bgColor=3D#ffffff>
                <TD class=3Dblacktitle colSpan=3D3><B>Compliance =
Status</B></TD>
                <TD class=3Dblacktitle align=3Dmiddle =
width=3D20>COS</TD>
                <TD class=3Dblacktitle align=3Dmiddle =
width=3D20>R</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>1. =
Supervision</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>4 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>1-2</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Person in charge present, demonstrates knowledge, =
and=20
                  performs duties</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>2. =
Employee=20
                  Health, Good Hygenic Practices, Preventing =
Contamination by=20
                  Hands</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>9 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>2-1A</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Proper use of restriction &amp; exclusion</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>2-1B</TD>
                <TD align=3Dmiddle width=3D20><B style=3D"COLOR: =
red">OUT</B></TD>
                <TD>Hands clean and properly washed</TD>
                <TD align=3Dmiddle width=3D20>X</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>2-1C</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>No bare hand contact with ready-to-eat foods or =
approved=20
                  alternate method properly followed</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>2. =
Employee=20
                  Health, Good Hygenic Practices, Preventing =
Contamination by=20
                  Hands</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>4 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>2-2A</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Management awareness; policy present; reporting</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>2-2B</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Proper eating, tasting, drinking, or tobacco =
use</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>2-2C</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>No discharge from eyes, nose, and mouth</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>2-2D</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Adequate handwashing facilities supplied &amp;=20
                accessible</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>3. =
Approved=20
                Source</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>9 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>3-1A</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Food obtained from approval source, parasite=20
destruction</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>3-1B</TD>
                <TD align=3Dmiddle width=3D20>N/O</TD>
                <TD>Food received at proper temperature</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>3-1C</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Food in good condition, safe, and unadulterated</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>4-1A</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Food separated and protected</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>4-1B</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Proper disposition of returned, previously served,=20
                  reconditional, and unsafe food</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>4. =
Protection from=20
                  Contamination</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>4 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>4-2A</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Food stored covered</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>4-2B</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Food-contact surfaces; cleaned &amp; sanitized</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle =
width=3D20>&nbsp;</TD></TR></TBODY></TABLE></TD>
          <TD width=3D5>&nbsp;</TD>
          <TD vAlign=3Dtop align=3Dright width=3D"50%">
            <TABLE height=3D330 cellSpacing=3D1 cellPadding=3D0 =
width=3D"100%"=20
            bgColor=3D#000000 border=3D0>
              <TBODY>
              <TR class=3Dnine bgColor=3D#ffffff>
                <TD class=3Dblacktitle colSpan=3D3><B>Compliance =
Status</B></TD>
                <TD class=3Dblacktitle align=3Dmiddle =
width=3D20>COS</TD>
                <TD class=3Dblacktitle align=3Dmiddle =
width=3D20>R</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>5. =
Cooking and=20
                  Reheating of Potentially Hazardous Foods, Consumer =
Advisory</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>9 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>5-1A</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Proper cooking time and temperatures</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>5-1B</TD>
                <TD align=3Dmiddle width=3D20>N/O</TD>
                <TD>Proper reheating procedures for hot holding</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>5. =
Cooking and=20
                  Reheating of Potentially Hazardous Foods, Consumer =
Advisory</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>4 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>5-2</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Consumer advisory provided for raw and undercooked=20
foods</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>6. =
Holding of=20
                  Potentially Hazardous Foods, Date Marking Potentially=20
                  Hazardous Foods</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>9 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>6-1A</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Proper cold holding temperature</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>6-1B</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Proper hot holding temperature</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>6-1C</TD>
                <TD align=3Dmiddle width=3D20>N/O</TD>
                <TD>Proper cooling time and temperature</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>6-1D</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Time as a public health control; procedures and =
records</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>6. =
Holding of=20
                  Potentially Hazardous Foods, Date Marking Potentially=20
                  Hazardous Foods</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>4 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>6-2</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Proper date marking and disposition</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>7. =
Highly=20
                  Susceptible Populations</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>9 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>7-1</TD>
                <TD align=3Dmiddle width=3D20>N/A</TD>
                <TD>Pasteurized foods used; Prohibited foods not =
offered</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>8. =
Chemicals</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>4 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>8-1A</TD>
                <TD align=3Dmiddle width=3D20>N/A</TD>
                <TD>Food additives; approved and properly used</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>8-1B</TD>
                <TD align=3Dmiddle width=3D20><B style=3D"COLOR: =
red">OUT</B></TD>
                <TD>Toxic substances properly identified, stored, =
used</TD>
                <TD align=3Dmiddle width=3D20>X</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>9-2</TD>
                <TD align=3Dmiddle width=3D20>N/A</TD>
                <TD>Compliance with variance, specialized process and =
HACCP=20
                  plan</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle=20
        =
width=3D20>&nbsp;</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></TD=
></TR>
  <TR>
    <TD>
      <TABLE cellSpacing=3D0 cellPadding=3D0 width=3D"100%" =
bgColor=3D#000000=20
        border=3D0><TBODY>
        <TR>
          <TD class=3Dblacktitle align=3Dmiddle bgColor=3D#cccccc>GOOD =
RETAIL=20
            PRACTICES</TD></TR>
        <TR>
          <TD class=3Dnine align=3Dmiddle bgColor=3D#ffffff>Good Retail =
Practices=20
            are preventative measures to control the addition of =
pathogens,=20
            chemicals, and physical objects into=20
    foods.<BR></TD></TR></TBODY></TABLE></TD></TR>
  <TR>
    <TD>
      <TABLE cellSpacing=3D0 cellPadding=3D0 width=3D"100%" =
align=3Dcenter border=3D0>
        <TBODY>
        <TR>
          <TD vAlign=3Dtop align=3Dmiddle width=3D"50%">
            <TABLE height=3D330 cellSpacing=3D1 cellPadding=3D0 =
width=3D"100%"=20
            bgColor=3D#000000 border=3D0>
              <TBODY>
              <TR class=3Dnine bgColor=3D#ffffff>
                <TD class=3Dblacktitle colSpan=3D3><B>Compliance =
Status</B></TD>
                <TD class=3Dblacktitle align=3Dmiddle =
width=3D20>COS</TD>
                <TD class=3Dblacktitle align=3Dmiddle =
width=3D20>R</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>10. =
Safe Food and=20
                  Water, Food Identification</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>3 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>10A</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Pasteurized eggs used where required</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>10B</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Water and ice from approved source</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>10C</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Variance obtained for specialized processing =
methods</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>10D</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Food properly labeled; original container; required=20
                  records available; shellstock tags</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>11A</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Proper cooling methods used; adequate equipment for=20
                  temperature control</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>11B</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Plant food properly cooked for hot holding</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>11C</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Approved thawing methods used</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>11D</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Thermometers provided and accurate</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>12A</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Contamination prevented during food preparation, =
storage=20
                  display</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>12B</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Personal cleanliness</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>12C</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Wiping cloths; properly used and stored</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>12D</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Washing fruits and vegetables</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>13. =
Postings and=20
                  Compliance with Clean Air Act</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>1 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>13A</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Posted: Permit/Inspection/Choking =
Poster/Handwashing</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>13B</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Compliance with Georgia Smoke Free Air Act</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle =
width=3D20>&nbsp;</TD></TR></TBODY></TABLE></TD>
          <TD width=3D5>&nbsp;</TD>
          <TD vAlign=3Dtop align=3Dright width=3D"50%">
            <TABLE height=3D330 cellSpacing=3D1 cellPadding=3D0 =
width=3D"100%"=20
            bgColor=3D#000000 border=3D0>
              <TBODY>
              <TR class=3Dnine bgColor=3D#ffffff>
                <TD class=3Dblacktitle colSpan=3D3><B>Compliance =
Status</B></TD>
                <TD class=3Dblacktitle align=3Dmiddle =
width=3D20>COS</TD>
                <TD class=3Dblacktitle align=3Dmiddle =
width=3D20>R</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>14. =
Proper Use of=20
                  Utensils</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>1 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>14A</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>In-use utensils; properly stored</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>14B</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Utensils, equipment and linens; properly stored, =
dried,=20
                  handled</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>14C</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Single-use/single-service articles; properly stored, =

                used</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>14D</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Gloves used properly</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>15A</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Food and nonfood-contact surfaces cleanable, =
properly=20
                  designed, constructed, and used</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>15B</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Warewashing facilities; installed, maintained, used; =
test=20
                  strips</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>15C</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Nonfood-contact surfaces clean</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>16. =
Water,=20
                  Plumbing and Waste</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>2 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>16A</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Hot and cold water available; adequate pressure</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>16B</TD>
                <TD align=3Dmiddle width=3D20><B style=3D"COLOR: =
red">OUT</B></TD>
                <TD>Plumbing installed; proper backflow devices</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>16C</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Sewage and waste water properly disposed</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>17. =
Physical=20
                  Facilities</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>1 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>17A</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Toilet facilities; properly constructed, supplied,=20
                cleaned</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>17B</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Garbage/refuse properly disposed; facilities =
maintained</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>17C</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Physical facilities installed, maintained, and =
clean</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>17D</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Adequate ventilation and lighting; designated areas=20
used</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD></TR>
              <TR bgColor=3D#cccccc>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D3>18. =
Pest and=20
                  Animal Control</TD>
                <TD class=3Dblacktitle align=3Dmiddle colSpan=3D2>3 =
points</TD></TR>
              <TR class=3Deight vAlign=3Dtop bgColor=3D#ffffff>
                <TD align=3Dmiddle width=3D20>18</TD>
                <TD align=3Dmiddle width=3D20>IN</TD>
                <TD>Insects, rodents, and animals not present</TD>
                <TD align=3Dmiddle width=3D20>&nbsp;</TD>
                <TD align=3Dmiddle=20
        =
width=3D20>&nbsp;</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></TD=
></TR>
  <TR>
    <TD>
      <TABLE cellSpacing=3D1 cellPadding=3D1 width=3D"100%" =
bgColor=3D#000000=20
        border=3D0><TBODY>
        <TR class=3Deleven bgColor=3D#ffffff height=3D30>
          <TD vAlign=3Dbottom><B>Person in Charge (Signature)</B> =
&nbsp;&nbsp;
            <OBJECT id=3Dsignature_object=20
            =
codeBase=3Dhttp://java.sun.com/update/1.5.0/jinstall-1_5-windows-i586.cab=
#Version=3D1,5,0,0=20
            height=3D30 codeType=3Dapplication/java width=3D200=20
            classid=3Dclsid:8AD9C840-044E-11D1-B3E9-00805F499D93><PARAM =
NAME=3D"code" VALUE=3D"SignatureCapture.class"><PARAM NAME=3D"codebase" =
VALUE=3D"/jre/"><PARAM NAME=3D"type" =
VALUE=3D"application/x-java-applet;version=3D1.5"><PARAM =
NAME=3D"scriptable" VALUE=3D"false"><PARAM NAME=3D"coordinates" =
VALUE=3D""><PARAM NAME=3D"imgheight" VALUE=3D"30"><PARAM =
NAME=3D"imgwidth" VALUE=3D"200">
            																																<embed
            					type=3D"application/x-java-applet;version=3D1.5" \
            					code=3D"SignatureCapture.class" \					=
codebase=3D"/jre/" \
            					width=3D200 \					height=3D30					scriptable=3Dfalse
            					=
pluginspage=3D"http://java.sun.com/products/plugin/index.html#download">
            					<span class=3D"small" =
style=3D"font-size:13px;font-weight:bold;">
            						<br>Please install the proper version of Java on your =
machine
            					</span>				</embed>				</OBJECT><INPUT id=3Dsignature =
type=3Dhidden=20
            name=3Dsignature> <B>(Print)</B> &nbsp; </TD>
          <TD vAlign=3Dbottom width=3D150><B>Date:</B> &nbsp;=20
    </TD></TR></TBODY></TABLE></TD></TR>
  <TR>
    <TD>
      <TABLE cellSpacing=3D1 cellPadding=3D1 width=3D"100%" =
bgColor=3D#000000=20
        border=3D0><TBODY>
        <TR class=3Deleven bgColor=3D#ffffff height=3D30>
          <TD vAlign=3Dbottom><B>Inspector (Signature)</B>
            <OBJECT id=3Dsignature_object=20
            =
codeBase=3Dhttp://java.sun.com/update/1.5.0/jinstall-1_5-windows-i586.cab=
#Version=3D1,5,0,0=20
            height=3D30 codeType=3Dapplication/java width=3D200=20
            classid=3Dclsid:8AD9C840-044E-11D1-B3E9-00805F499D93><PARAM =
NAME=3D"code" VALUE=3D"SignatureCapture.class"><PARAM NAME=3D"codebase" =
VALUE=3D"/jre/"><PARAM NAME=3D"type" =
VALUE=3D"application/x-java-applet;version=3D1.5"><PARAM =
NAME=3D"scriptable" VALUE=3D"false"><PARAM NAME=3D"coordinates" =
VALUE=3D""><PARAM NAME=3D"imgheight" VALUE=3D"30"><PARAM =
NAME=3D"imgwidth" VALUE=3D"200">
            																																<embed
            					type=3D"application/x-java-applet;version=3D1.5" \
            					code=3D"SignatureCapture.class" \					=
codebase=3D"/jre/" \
            					width=3D200 \					height=3D30					scriptable=3Dfalse
            					=
pluginspage=3D"http://java.sun.com/products/plugin/index.html#download">
            					<span class=3D"small" =
style=3D"font-size:13px;font-weight:bold;">
            						<br>Please install the proper version of Java on your =
machine
            					</span>				</embed>				</OBJECT><INPUT id=3Dsignature =
type=3Dhidden=20
            name=3Dsignature> &nbsp;Jason Reagan </TD>
          <TD vAlign=3Dbottom align=3Dmiddle =
width=3D350><B>Follow-up</B> YES <IMG=20
            =
src=3D"http://ga.state.gegov.com/_templates/87/circle_10x10.gif"=20
            align=3DabsMiddle> &nbsp;&nbsp;NO <IMG=20
            =
src=3D"http://ga.state.gegov.com/_templates/87/circle_filled_10x10.gif"=20
            align=3DabsMiddle> &nbsp;&nbsp;&nbsp;&nbsp;<B>Follow-up =
Date:</B>=20
            &nbsp;<BR><STRONG>Discussed With:</STRONG> Dan Hunsaker=20
            &nbsp;&nbsp;&nbsp;&nbsp;<B>Title:</B> Owner/Manager=20
      </TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
<TABLE=20
style=3D"BORDER-RIGHT: black 1px solid; BORDER-TOP: black 1px solid; =
BORDER-LEFT: black 1px solid; BORDER-BOTTOM: black 1px solid"=20
cellSpacing=3D0 cellPadding=3D0 width=3D750 border=3D0>
  <TBODY>
  <TR>
    <TD class=3Dtitle=20
    style=3D"BORDER-LEFT-COLOR: black; BORDER-TOP-COLOR: black; =
BORDER-BOTTOM: black 1px solid; BORDER-RIGHT-COLOR: black"=20
    align=3Dmiddle height=3D30>
      <TABLE cellSpacing=3D0 cellPadding=3D0 width=3D"100%" border=3D0>
        <TBODY>
        <TR>
          <TD class=3Dtitle2 align=3Dmiddle><B>Food Establishment =
Inspection=20
            Report Addendum</B></TD></TR>
        <TR>
          <TD class=3Deleven=20
          style=3D"BORDER-TOP: black 1px solid; BORDER-LEFT-COLOR: =
black; BORDER-BOTTOM: black 1px solid; BORDER-RIGHT-COLOR: =
black"><B><I>Violations=20
            cited in this report must be corrected within the time =
frames=20
            specified below, or as stated in the Georgia Department of =
Human=20
            Resources <BR>Rules and Regulations Food Service Chapter =
290-5-14,=20
            Rule .10 subsections (2)(i) and=20
  (j).</B></I></TD></TR></TBODY></TABLE></TD></TR>
  <TR>
    <TD>
      <TABLE cellSpacing=3D1 cellPadding=3D2 width=3D"100%" =
bgColor=3D#000000=20
        border=3D0><TBODY>
        <TR class=3Dnine vAlign=3Dtop bgColor=3D#ffffff>
          <TD height=3D28><B class=3Deleven>Establishment</B><BR>DJ's =
Cafe</TD>
          <TD width=3D150 height=3D28><B class=3Deleven>Permit=20
            #</B><BR>FSP-107-000040</TD>
          <TD width=3D110 height=3D28><B =
class=3Deleven>Date</B><BR>12/22/2009</TD></TR>
        <TR class=3Dnine vAlign=3Dtop bgColor=3D#ffffff>
          <TD height=3D28><B class=3Deleven>Address</B><BR>14656 BROWN =
BRIDGE RD=20
          </TD>
          <TD width=3D150 height=3D28><B =
class=3Deleven>City/State</B><BR>COVINGTON=20
            GA</TD>
          <TD width=3D150 height=3D28><B=20
        =
class=3Deleven>Zipcode</B><BR>30016</TD></TR></TBODY></TABLE></TD></TR>
  <TR>
    <TD bgColor=3D#000000>
      <TABLE cellSpacing=3D1 cellPadding=3D2 width=3D"100%" border=3D0>
        <TBODY>
        <TR>
          <TD class=3Dblacktitle align=3Dmiddle bgColor=3D#cccccc=20
            colSpan=3D6>TEMPERATURE OBSERVATIONS </TD></TR>
        <TR bgColor=3D#ffffff>
          <TD class=3Dten align=3Dmiddle =
width=3D180><B>Item/Location</B></TD>
          <TD class=3Dten align=3Dmiddle width=3D60><B>Temp</B></TD>
          <TD class=3Dten align=3Dmiddle =
width=3D180><B>Item/Location</B></TD>
          <TD class=3Dten align=3Dmiddle width=3D60><B>Temp</B></TD>
          <TD class=3Dten align=3Dmiddle =
width=3D180><B>Item/Location</B></TD>
          <TD class=3Dten align=3Dmiddle =
width=3D60><B>Temp</B></TD></TR>
        <TR bgColor=3D#ffffff>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Eggs / Hot-Hold =
Unit</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>150.0 =C2=B0 F</TD>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Chicken / =
Hot-Hold Unit</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>140.0 =C2=B0 F</TD>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Fried Tenderloin =
/ Hot-Hold=20
            Unit</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>137.0 =C2=B0 F</TD></TR>
        <TR bgColor=3D#ffffff>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Mac Cheese / =
Hot-Hold=20
Unit</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>167.0 =C2=B0 F</TD>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Mash potatoes / =
Hot-Hold=20
          Unit</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>161.0 =C2=B0 F</TD>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Green Beans / =
Hot-Hold=20
          Unit</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>201.0 =C2=B0 F</TD></TR>
        <TR bgColor=3D#ffffff>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Chicken Base / =
Hot-Hold=20
          Unit</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>139.0 =C2=B0 F</TD>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Mash potatoes / =
Hot-Hold=20
          Unit</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>161.0 =C2=B0 F</TD>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Eggs / =
Grill</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>168.0 =C2=B0 F</TD></TR>
        <TR bgColor=3D#ffffff>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Cheese / =
Refrigerator</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>37.0 =C2=B0 F</TD>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Smoked Sausage / =
Hot-Hold=20
            Unit</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>147.0 =C2=B0 F</TD>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Ice Water / =
Cup</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>32.5 =C2=B0 F</TD></TR>
        <TR bgColor=3D#ffffff>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Chicken / =
Walk-In Cooler</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>39.0 =C2=B0 F</TD>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Smoked Sausage / =
Walk-In=20
            Cooler</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>40.0 =C2=B0 F</TD>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Milk / Walk-In =
Cooler</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>37.0 =C2=B0 F</TD></TR>
        <TR bgColor=3D#ffffff>
          <TD class=3Dten width=3D180 bgColor=3D#ffffff>Ham / Walk-In =
Cooler</TD>
          <TD class=3Dten align=3Dmiddle width=3D60 =
bgColor=3D#ffffff>37.0 =C2=B0 F</TD>
          <TD class=3Dten bgColor=3D#ffffff>&nbsp;</TD>
          <TD class=3Dten bgColor=3D#ffffff>&nbsp;</TD>
          <TD class=3Dten bgColor=3D#ffffff>&nbsp;</TD>
          <TD class=3Dten =
bgColor=3D#ffffff>&nbsp;</TD></TR></TBODY></TABLE></TD></TR>
  <TR>
    <TD>
      <TABLE cellSpacing=3D1 cellPadding=3D2 width=3D"100%" =
bgColor=3D#cccccc=20
        border=3D0><TBODY>
        <TR>
          <TD class=3Dten align=3Dmiddle width=3D60>Item<BR>Number</TD>
          <TD class=3Dblacktitle align=3Dmiddle bgColor=3D#cccccc=20
            colSpan=3D2>OBSERVATIONS AND CORRECTIVE ACTIONS</TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60>2-1B </TD>
          <TD class=3Dten>Violation of Code: <SPAN style=3D"COLOR: =
red">[.03(5)(a)=20
            ]</SPAN> Observed food employee use the toilet room then =
engage in=20
            food preparation, handle clean equipment or utensils, or =
touch=20
            unwrapped single-service items, without washing =
hands.<BR>Observed=20
            employee handling soiled equipment or utensils then engage =
in food=20
            preparation, handle clean equipment or utensils, or touch =
unwrapped=20
            single-service items, without washing hands. &nbsp;Corrected =

            On-Site. &nbsp;New Violation. </TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60>8-1B </TD>
          <TD class=3Dten>Violation of Code: <SPAN=20
            style=3D"COLOR: red">[.07(6)(e)]</SPAN> Observed sanitizing =
solution=20
            exceeding the maximum concentration allowed. &nbsp;Corrected =

            On-Site. &nbsp;New Violation. </TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60>16B </TD>
          <TD class=3Dten>Violation of Code: <SPAN=20
            style=3D"COLOR: red">[.06(2)(r)]</SPAN> Observed leaking =
pipe at=20
            plumbing fixture. (Drainline of Handsink) &nbsp;New =
Violation.=20
</TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60>16B </TD>
          <TD class=3Dten>Violation of Code: <SPAN=20
            style=3D"COLOR: red">[.06(2)(d)]</SPAN> Observed spray hose =
at mop=20
            sink lower than flood rim of sink. &nbsp;Corrected On-Site.=20
            &nbsp;Repeat Violation. </TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60></TD>
          <TD class=3Dten></TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60>Remarks </TD>
          <TD class=3Dten>Notes<BR>-Clean between fryer and =
stove.<BR>-Clean=20
            floors regularly.<BR>-Clean handle of little white =
fridge.<BR>-Fix=20
            light @ ventahood.<BR>-Do not keep personal items stored =
with food=20
            in kitchen.<BR>-Wash ice scoop holders regularly.<BR>-Wash =
coke=20
            dispenser nozzles regularly.<BR>-Finish fixing comsumer =
advisory on=20
            drive thru board. </TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60></TD>
          <TD class=3Dten></TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60></TD>
          <TD class=3Dten></TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60></TD>
          <TD class=3Dten></TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60></TD>
          <TD class=3Dten></TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60></TD>
          <TD class=3Dten></TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60></TD>
          <TD class=3Dten></TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60></TD>
          <TD class=3Dten></TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60></TD>
          <TD class=3Dten></TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60></TD>
          <TD class=3Dten></TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60></TD>
          <TD class=3Dten></TD></TR>
        <TR bgColor=3D#ffffff height=3D22>
          <TD class=3Dten align=3Dmiddle width=3D60></TD>
          <TD class=3Dten></TD></TR></TBODY></TABLE></TD></TR>
  <TR>
    <TD>
      <TABLE cellSpacing=3D1 cellPadding=3D1 width=3D"100%" =
bgColor=3D#000000=20
        border=3D0><TBODY>
        <TR class=3Deleven bgColor=3D#ffffff height=3D30>
          <TD vAlign=3Dbottom><B>Person in Charge (Signature)</B> =
&nbsp;&nbsp;
            <OBJECT id=3Dsignature_object=20
            =
codeBase=3Dhttp://java.sun.com/update/1.5.0/jinstall-1_5-windows-i586.cab=
#Version=3D1,5,0,0=20
            height=3D30 codeType=3Dapplication/java width=3D200=20
            classid=3Dclsid:8AD9C840-044E-11D1-B3E9-00805F499D93><PARAM =
NAME=3D"code" VALUE=3D"SignatureCapture.class"><PARAM NAME=3D"codebase" =
VALUE=3D"/jre/"><PARAM NAME=3D"type" =
VALUE=3D"application/x-java-applet;version=3D1.5"><PARAM =
NAME=3D"scriptable" VALUE=3D"false"><PARAM NAME=3D"coordinates" =
VALUE=3D""><PARAM NAME=3D"imgheight" VALUE=3D"30"><PARAM =
NAME=3D"imgwidth" VALUE=3D"200">
            																																<embed
            					type=3D"application/x-java-applet;version=3D1.5" \
            					code=3D"SignatureCapture.class" \					=
codebase=3D"/jre/" \
            					width=3D200 \					height=3D30					scriptable=3Dfalse
            					=
pluginspage=3D"http://java.sun.com/products/plugin/index.html#download">
            					<span class=3D"small" =
style=3D"font-size:13px;font-weight:bold;">
            						<br>Please install the proper version of Java on your =
machine
            					</span>				</embed>				</OBJECT><INPUT id=3Dsignature =
type=3Dhidden=20
            name=3Dsignature> </TD>
          <TD vAlign=3Dbottom width=3D150><B>Date:</B>=20
    &nbsp;</TD></TR></TBODY></TABLE></TD></TR>
  <TR>
    <TD>
      <TABLE cellSpacing=3D1 cellPadding=3D1 width=3D"100%" =
bgColor=3D#000000=20
        border=3D0><TBODY>
        <TR class=3Deleven bgColor=3D#ffffff height=3D30>
          <TD vAlign=3Dbottom><B>Inspector (Signature)</B> Jason Reagan
            <OBJECT id=3Dsignature_object=20
            =
codeBase=3Dhttp://java.sun.com/update/1.5.0/jinstall-1_5-windows-i586.cab=
#Version=3D1,5,0,0=20
            height=3D30 codeType=3Dapplication/java width=3D200=20
            classid=3Dclsid:8AD9C840-044E-11D1-B3E9-00805F499D93><PARAM =
NAME=3D"code" VALUE=3D"SignatureCapture.class"><PARAM NAME=3D"codebase" =
VALUE=3D"/jre/"><PARAM NAME=3D"type" =
VALUE=3D"application/x-java-applet;version=3D1.5"><PARAM =
NAME=3D"scriptable" VALUE=3D"false"><PARAM NAME=3D"coordinates" =
VALUE=3D""><PARAM NAME=3D"imgheight" VALUE=3D"30"><PARAM =
NAME=3D"imgwidth" VALUE=3D"200">
            																																<embed
            					type=3D"application/x-java-applet;version=3D1.5" \
            					code=3D"SignatureCapture.class" \					=
codebase=3D"/jre/" \
            					width=3D200 \					height=3D30					scriptable=3Dfalse
            					=
pluginspage=3D"http://java.sun.com/products/plugin/index.html#download">
            					<span class=3D"small" =
style=3D"font-size:13px;font-weight:bold;">
            						<br>Please install the proper version of Java on your =
machine
            					</span>				</embed>				</OBJECT><INPUT id=3Dsignature =
type=3Dhidden=20
            name=3Dsignature> </TD>
          <TD vAlign=3Dbottom width=3D150><B>Date:</B>=20
      =
12/22/2009</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE></BODY></HT=
ML>

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