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City Of Santa Ana <br />FSE Best Management Practices (BMP) Inspection Report <br />Permit No: ____________ Inspection Date: __________ <br />Name of Facility: ________________________________ Inspection Type: __________ <br />Address: ______________________________________ Inspector: _______________ <br />______________________________________________ Citation Type: ____________ <br />Name and Title of Facility Contact: ____________________________________________________________ <br />FACILITY INSPECTION <br />1. Removal of food grinder Installation/usage prohibited per ordinance <br />2. Drain Screens Installed/Maintained Must be present and in working condition <br />3. Kitchen Signage (BMP Poster) posted BMP Poster visible in food prep/dishwashing areas <br />4. Scraping practices Pots, pans, and plates to be scraped of food debris prior to washing <br />5. Food Waste Practices Food waste to be placed in plastic bags for trash, not in sink(s) <br />6. Emergency Spill Response Materials Grease absorbent materials present and accessible in event of a spill <br />7. Utilization of Additives Additives for emulsifying or biological/chemically treating Fats, Oils, and Grease (FOG) <br />prohibited unless approval by FOG Control Program Manager <br />8. Waste cooking oil and properly stored Waste cooking oil not disposed of in drains; and waste grease container present, not <br />leaking, and properly labeled <br />9. Grease Collection Log Maintained Must be kept current and accessible at all times <br />10. Employee Training Log Maintained Must be kept current and accessible at all times <br />11. Lateral Cleaning and Spill Log Maintained Must be kept current and accessible at all times <br />Comments: __________________________________________________________________________________________ <br />____________________________________________________________________________________________________ <br />____________________________________________________________________________________________________ <br />INSPECTION RESULTS <br />Facility is in COMPLIANCE. No corrective action is required at this time. <br />NOTICE OF NONCOMPLIANCE <br /> Facility is in noncompliance Required corrective action includes <br /> Y N of the items checked below: any or all of the following: <br />Food grinder (garbage disposal) installedRemove food grinder (garbage disposal) <br />Drain screens missing/damaged/cloggedInstall/repair/clean drain screen(s) <br />BMP poster missing/obscured/damaged, etc.Post/repair/replace BMP poster <br />Employees observed not following scraping practicesTrain employees on scraping practices <br />Food waste in sink(s) and not inTrain employees on proper disposal of food waste <br />enclosed plastic bag or garbage <br />Missing/inadequate or inaccessibleMake available/accessible grease absorbent grease <br /> absorbing materials material for spills <br />Additives utilized without approval of FOG Program ManagerDiscontinue Additive use or obtain approval <br />Greasecontainer leaking, notProvide, properlylabel, & maintain waste grease <br /> present, or improperly labeled container <br />Evidence of waste cooking oilsin drainsTrain employees on proper disposal of FOG <br />Grease Collection Log missing or not currentMake available/accessible and <br />update Grease Collection Log <br />Employee Training Log missing or not currentTrain employees on all BMPs & update Training Log <br />Lateral Cleaning and Spill Log missing or not currentMake available/accessible and Lateral <br />Cleaning and Spill Log <br />Other:____________________________________________Other:____________________________________ <br />The above checked item(s) must be corrected within _____________ days of receipt of this Notice of Noncompliance. <br />AKNOWLEDGEMENT OF RECIEPT OF BMP INSPECTION REPORT <br />______________________________________ ________________ <br />Signature of Facility Contact Date <br />______________________________________ ________________ <br />Signature of Inspector Date <br />____________________________________________________________________________________________________ <br />FOR OFFICE USE ONLY <br />Revised 28/12/2006 <br /> <br />