wer ne Food Establishment Inspection Report |AsGoverned byPimaCountyCode®08 = —=—SOSts— Hore [hott mb Harts [YSNGr x Jove, sssce_| HH Gusis20 Woe | rotteraniete | 49°F vies Sere heats. 108°E lon ju CoLonut mind 39° ¢| Yi. sare [Drauers: ¢Lasuo | So | Coo Swurep IAW - ES" jeE Person in Charge (Signat Inspector (Prin: abe} Inspector (Slgnatlye) pector (signet fas CL esa PIMA COUNTY HEALTH DEPARTMENT Establishment Inspection Report reegiw ee ‘As Governed by Pima County Code 8.05 39505. Country Club Rt, Ste 2301 remit 25 19, UY Date Ri cy Tucson AZ85714 Phone 520-724-7908, Fx 520-724-9597, Table Ties Thuy Crd 13S wreak Red TESETMTOREADOMEC RH Violations cted in ths repart must be corrected inthe time ames below as indicated 3 ses =i tai oe fat Wa Wieia Dato A ASL. [2 A x poe A be Ow ses patie A wwe ats AN a less L SMan PIMA COUNTY HEALTH DEPARTMENT Establishment Inspection Report moe 4 oY 1s Goey Fon Csi Cae ee ol 3950. country Cub Rd Ste em se pre ene eeaud ashe at Cao MES W.Cwoul (H. ‘OBSERVATIONS AND CORRECTIVE ACTIONS. Violations ckedin this report must be coectedin the ime ames below as ndiate. bs joked unter Fata we less ign Latte Ld tobe eal jWieruertoa iter I-99. Beet, clelialiay Oodach ns ALG ELA uty ict 2.014. ee vidlichima Muss he correct tates de Z tdi Tetig wenle heaingpectad Wet Li Zz : fact Heater pee Personin Charge Sion p naan tue eecoeeoa ism OT m9 A wa owe _ C4 resecortsorae) ALLY, one PK 9 :‘Consumer Health and Food Safety 39505. Country Club Rd, Ste 2301 Tucson, AZ 85714 PIMA COUNTY Phone $20-724-7908 » Fax 520-724-9597 “HEALTH DEPARTMENT NOTIFICATION OF INSPECTION RIGHTS REGULATED PERSON INFORMATION Regulated Person/Facility. _pemiteiss SIGOIWY Zo00e Site Location Site Contact PAIN ELAPLLOR es __Phone ‘Mailing Address HE DEPARTMENT INFORMATION Inspector Nami xernala Ouidler SVU Inspection Date time \UO_ Notice of inspection Rights Under AR.S.§ 11-1603 Upon entering the premises, the Pima County Health Department inspectors met with the regulated person or the regulated person’s on-site representative, presented photo identification showing that they are Pima County employees, and explained: ‘© The purpose of the inspection is to determine compliance with Pima County Code, Title 8, Health and Safety and for Public Schoo! Physical Plants, also A.A.C. Title 9, Chapter 8, Article 7. The legal authority for the inspection Is: Q Food Establishments: P.C.C. 8.04.110(G)(1); Di Public and Semi-Public Aquatic Facilities: PCC. 8.04.110(G)(3); © Motels, Hotels, Resorts, and Tourist Courts: PC.C. 8.04.110(G)(4); [Mobile Home and Travel Trailer Parks: 8.04.1 10(6)(5); Ci Public School Physical Plants: 8.04.110(6\7);C1 Camp Grounds and Children’s Camps: 8.04.1 10(G)(8); 1 Ice Manufacturing and Beve rage-P¥ants: oo * The fee for this inspection is: $. muting Wipectisw '* With the exception of inspections of food establishments or swimming pools and spas, the regulated person or representative may accompany the Department inspectors on the premises, except during confidential interviews. ‘+ The regulated person has the right to: copies of any original documents taken by the Department during the inspection; a split or duplicate of any samples taken during the inspection if the spit or duplicate would not prohibit an analysis from being conducted or tender an analysis inconclusive; copies of any performed on samples taken during the inspection. ‘¢ Each person whose conversation is tape-recorded will be informed that the conversation is being tape-recorded. ‘Each person interviewed during the inspection will be informed that statements made by the person may be included in the inspection report. «Right of Appeal: A person who has been adversely affected by an action of the health officer may appeal that action by filing with the Pima County Health Director a written request for appeal within ten days of the time the person notified of the action. See P.C.C. 8.04,130(A). Written requests must be sent to the Pima County Health Director ‘at 3950 S, Country Club Rd. Ste, 100, Tucson, AZ 85714. ‘+ The following person may be contacted about the final decision based on the results of the inspection: David F. Ludwig, Program Manager, (520) 724-7908 ton and discussed any questions or concerns with the Department inspectors. Date: BeElined to sign the notification 1D No authorized on-site representative is present atthe facility Copies of the inspection report and this notification are available at Pima County Health Department, 3950S. Country Club Rd. Tucson AZ 85714 ‘#4Note: Department inspectors may stil proceed withthe inspection even ifthe regulated party declines to sign this forn***